Billing Collection Representative

Akron Children's Hospital; Akron (OH); Remote; USD 40,000 - 65,000; Full time

Job summary

An established industry player is seeking a Billing Collections Representative to join their team. This role involves resolving unpaid insurance accounts by effectively communicating with insurance companies. The ideal candidate will possess strong billing and collections knowledge, including familiarity with CPT and ICD coding. With a focus on relationship management, you will ensure timely collection of accounts while investigating and resolving claims issues. Join a dedicated team that values your expertise in a supportive environment, where your contributions will directly impact patient care and financial outcomes.

Qualifications

• 1-2 years of relevant experience in billing and collections required.
• Knowledge of CPT and ICD coding essential for the role.

Responsibilities

• Develop relationships with payer representatives for timely account collection.
• Investigate and resolve issues causing delays in claims processing.

Skills

Billing and Collections

CPT and ICD Coding

Payer Remittance Processing

Outcomes Analysis/Reporting

Relationship Management

Education

High School Diploma

Bachelor's Degree

Medical Billing Certification

Tools

MS Office (Outlook, Excel, Word)

Epic

Job description

Full-time, 40 Hours/Week

Schedule: 8 a.m - 4:30 p.m. (Remote; Applicant must reside in OH or PA at the time of offer)

Summary:

The Billing Collections Rep 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 account collection.
2. Investigate pended claims to determine reasons and resolve issues causing the delay.
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, then correcting and reposting as necessary.
5. Establish and maintain provider manuals for assigned insurance carriers and plans.
6. Monitor physician enrollment to ensure compliance with timely filing requirements.
7. Perform other duties as required.

Other Information:

Technical Expertise

1. Experience in processing and billing physician claims is required.
2. Knowledge of billing and collections, including CPT and ICD coding, payer remittance processing, and outcomes analysis/reporting.
3. Experience working with management teams and clinic staff.
4. Proficiency in managing CMS formatted claims.
5. Proficiency in MS Office (Outlook, Excel, Word); Epic experience preferred.

Education and Experience

1. High school diploma or equivalent required; Bachelor's degree preferred.
2. Medical Billing Certification preferred.
3. 1-2 years of relevant experience required; 5 years preferred.
4. No supervisory experience required.