Billing Collection Representative

Akron Children’s Hospital; Akron (OH); Remote; USD 10,000 - 60,000; Full time

Job summary

An established industry player is seeking a Billing Collections Representative to join their team. This role is crucial for resolving unpaid insurance accounts and involves developing positive relationships with payer representatives. The ideal candidate will have experience in billing and collections, including CPT and ICD coding knowledge. You will be responsible for investigating claims, posting resolutions, and maintaining provider manuals. If you are detail-oriented and have a passion for ensuring timely payments, this opportunity could be the perfect fit for you. Join a supportive environment where your contributions will make a significant impact.

Qualifications

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

Responsibilities

• Resolve unpaid insurance accounts by contacting insurance companies.
• Develop positive relationships with payer representatives to collect accounts.

Skills

Billing and Collections

CPT Coding

ICD Coding

Communication Skills

Problem-Solving

Education

High School Diploma

Bachelor's Degree

Medical Billing Certificate

Tools

MS Office (Outlook, Excel, Word)

Epic

Job description

Full-time, 40 Hours/Week

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. Develops positive relationships with payer representatives in order to collect accounts timely.
2. Investigates pended claims to determine why claims were pended and resolve reasons for the pended scenario.
3. Identifies and resolves trends with pended claims, which includes appeals for untimely claim submission and resolving provider credentialing issues.
4. Accurately posts resolutions to accounts including updating and billing insurance and correct and repost.
5. Establishes and maintains provider manuals for assigned insurance carriers and subsequent plans.
6. Monitors physician’s enrollment to not exceed timely filing requirements.
7. Other duties as required.

Other information:

Technical Expertise:

1. Experience in processing and billing physician claims is required.
2. Experience in the technical aspects of billing and collections required. This includes CPT and ICD coding knowledge, understanding payer remittance coding/process and outcomes analysis/reporting.
3. Experience working with applicable management team members and clinic staff required.
4. Proficiency in the management of CMS formatted claims required.
5. Proficiency in MS Office [Outlook, Excel, Word]. Epic experience is preferred.

Education and Experience:

1. Education: High school diploma or equivalent is required. Bachelor’s Degree is preferred.
2. Certification: Medical Billing Certificate is preferred.
3. Years of relevant experience: 1 to 2 years required. 5 years relevant experience preferred.
4. Years of experience supervising: None.

FTE: 1.000000