Billing Collection Representative

Akron Children's; Akron (OH); Remote; USD 35,000 - 55,000; Full time

Job summary

An established industry player in healthcare is seeking a Billing Collections Representative to manage and resolve unpaid insurance accounts. This role involves developing strong relationships with payer representatives, investigating claims, and ensuring timely collections. The ideal candidate will have a solid background in medical billing, proficiency in relevant coding, and the ability to work collaboratively with a team. This full-time position offers a remote work opportunity for candidates residing in Ohio or Pennsylvania, making it a perfect fit for individuals looking to advance their careers in a supportive environment.

Qualifications

• 1-2 years of relevant experience in billing and collections.
• High school diploma required; Bachelor's preferred.

Responsibilities

• Resolve unpaid insurance accounts by contacting insurance companies.
• Investigate claims to determine reasons and resolve issues.

Skills

Insurance Billing

CPT and ICD Coding

Claims Processing

Communication Skills

Problem-Solving

Education

High School Diploma

Bachelor’s Degree

Medical Billing Certificate

Tools

MS Office (Outlook, Excel, Word)

Epic

Job description

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Position Details

Hours: 8 a.m - 4:30 p.m.

Work Location: Remote (Applicant must reside in OH or PA at the time of offer)

Summary

The Billing Collections Representative is responsible for resolving unpaid insurance accounts by contacting insurance companies through various means to solicit payment for applicable patient encounters.

Responsibilities

1. Develop positive relationships with payer representatives to ensure timely collection of accounts.
2. Investigate pended claims to determine reasons and resolve issues.
3. Identify and resolve trends with pended claims, including appeals for untimely submissions and provider credentialing issues.
4. Accurately post resolutions to accounts, including updating and billing insurance, and correct and repost as necessary.
5. Maintain provider manuals for assigned insurance carriers and plans.
6. Monitor physician enrollment to meet timely filing requirements.
7. Perform other duties as required.

Technical Expertise

• Experience in processing and billing physician claims.
• Knowledge of CPT and ICD coding, payor remittance coding, and outcomes analysis/reporting.
• Experience working with management team members and clinic staff.
• Proficiency in managing CMS formatted claims.
• Proficiency in MS Office (Outlook, Excel, Word); Epic experience preferred.

Education and Experience

• High school diploma or equivalent required; Bachelor’s Degree preferred.
• Medical Billing Certificate preferred.
• 1-2 years relevant experience required; 5 years preferred.
• No supervisory experience required.

Additional Details

• Employment Type: Full-time (FTE: 1.0)
• Seniority Level: Entry level
• Job Function: Accounting/Auditing and Finance
• Industry: Hospitals and Health Care

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