Randstad is currently representing a local Senior Living Community that is in need of a Medical Billing and Collections Specialist. The primary responsibility of this position is to perform the billing and collection of commercial insurance claims and invoicing, assist with Private Pay invoicing and collections, adjust and maintain accounts. The working environment will require a sense of urgency as well as a keen attention to detail. You will also follow up with customers via phone, email and fax, so customer service is a must have. If this sounds like the type of role for you, please apply today!
Prepare and submit complete and accurate claims and invoicing for payment to insurance companies, third party payers and private payers on a timely basis.
Receive, research and respond to denial letters and requests for additional information ensuring that a complete response including required supporting and/or correcting documentation is sent within the required timeframes.
Assist with and/or take responsibility for invoicing, reconciliation, analysis and collection of Private Pay accounts as needed.
Continually review and research unpaid accounts; prepare and process any necessary adjustments; and contact appropriate payer sources to expedite collection and resolve disputed transactions
Input ancillary charges into the A/R system (PCC) each month before claim/statement submission.
Consistently demonstrate proficient ability to access and utilize available third party eligibility and insurance software, PCC, Microsoft Word, Excel and Outlook.
- Claims Processing
- CPT Codes
- Data Entry
- Basic Accounts Receivable
- Patient Care Coordination
- Analytical Thinking
- Verbal Communication
- Medical Collections (2 years of experience is preferred)
- Payment Acceptance
- Insurance Verification
- Years of experience: 2 years
- Experience level:Entry Level
Working hours: 8:30 AM - 5 PM
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