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Medical Billing, Collections and Accounts Receivable Positions

3 Point Recruiting Denver, CO
  • Expired: 25 days ago. Applications are no longer accepted.

The Billing Specialist (BS) is responsible for a broad range of billing processes related to managing the Ready to Bill unbilled revenue. The employee will proactively work assigned payer billing to maximize accurate and timely payment. The BS will observe company policies and all applicable laws and regulations regarding the billing of medical claims. The employee must have the ability to prioritize, problem solve, and multitask. The BS will work closely with other staff to identify, resolve, and share information regarding payer trends and guideline updates. Above all, qualified candidates should possess exceptional internal and external customer service skills.

Requirements
Knowledge and Skill Requirements:

 A minimum of 3 to 4 years experience in medical billing with a working knowledge of managed care, commercial insurance, Medicare and Medicaid reimbursement; home infusion experience a plus

 Must have experience auditing documentation to insure compliance with payer requirements

 Working knowledge of automated billing systems, experience with CPR+ preferred

 Working knowledge and application of metric measurements, basic accounting practices, ICD-9, CPT and HCPCS coding

 Solid Microsoft Office skills required: Word, Excel and Outlook

 Ability to type 40 wpm and proficiency with10-key calculator

 Ability to independently obtain and interpret information

 Strong verbal and written communication skills

Education/Licenses/Certificates required:

 High School diploma or GED equivalent required.

 Some college a plus

Job Types: Full-time, Contract

Salary: $17.00 to $20.00 /hour

Collections Specialist:

The Collection Specialist is responsible for a broad range of collection processes related to medical accounts receivable in support of single or multiple site locations. The employee will proactively work assigned accounts to maximize accurate and timely payment. The employee will observe company policies and all applicable laws and regulations regarding the collection of medical claims and patient balances. The employee must have the ability to prioritize, problem solve, and multitask. The employee will work closely with other staff to identify, resolve, and share information regarding payer trends and guideline updates. Above all, qualified candidates should possess exceptional internal and external customer service skills.

Requirements
Knowledge and Skill Requirements:

 A minimum of 1-2 years experience in medical collections with a working knowledge of managed care, commercial insurance, Medicare and Medicaid reimbursement; home infusion experience a plus

 Working knowledge of automated billing systems, experience with CPR+ preferred

 Working knowledge and application of metric measurements, basic accounting practices, ICD-9, CPT and HCPCS coding

 Solid Microsoft Office skills required: Word, Excel and Outlook

 Ability to type 40 wpm and proficiency with10-key calculator

 Ability to independently obtain and interpret information

 Strong verbal and written communication skills

Education/Licenses/Certificates required:

 High School diploma or GED equivalent required.

 Some college a plus

The Accounts Receivable Specialist is primarily responsible for resolving all assigned insurance claim denials to enhance revenues. They will generate effective written appeals to carriers using well-researched logic in order to recoup reimbursement on incorrectly denied claims. They should be able to efficiently use a multitude of resources to ensure correct appeal processes are followed. The Denial Specialist must also follow-up on appealed denials in a timely manner.

Knowledge, Skills, and Experience:

· Bachelor’s degree in related field or 3-5 years experience in medical practice billing including experience working with denials, appeals and related follow-up.

· ICD10 and CPT coding assessment skills required.

· CPC certification preferred.

· Intermediate PC software experience required.

· Advanced verbal and written communication skills required.

· Proven ability in insurance collections required.

· Understanding and ability to apply contract language is required.

· Comprehensive understanding of claims denial appeal logic required.

· This position is responsible for accounts in the following specialties: Radiology, Radiation Oncology, Pathology, Dermatology and Anesthesia - experience in these areas is preferred, but not required.

Job Type: Full-time

Salary: $19.00 to $21.00 /hour

3 Point Recruiting

Address

Denver, CO
USA