Billing & Collections Specialist

globusmedical; Columbia (MD); Hybrid; USD 55,000 - 75,000; Full time

Job summary

NuVasive Clinical Services, a subsidiary of Globus Medical Inc., in Columbia, MD, seeks a Billing and Collections Specialist to support the medical revenue cycle. This hybrid role involves insurance verification, patient record maintenance, and collecting on outstanding accounts receivable.

Responsibilities include activating and billing patients, generating reports, and following up with payers and patients to resolve open balances.

Qualifications

• Attention to detail and accuracy for all patient and billing data.
• Ability to verify insurance information and patient data.
• Experience with accounts receivable and collections workflows.
• Familiarity with HIPAA regulations and PHI handling.

Responsibilities

• Obtain correct information from patients, physicians, hospitals, and payers.
• Verify patient information uploaded is accurate.
• Activate and bill patients within the billing system.
• Maintain database by entering, updating, and generating reports.
• Follow up with payers and patients to collect on open balances.
• Respond to inquiries from customers or external collection resources.

Skills

Communication

Organizational skills

Problem solving

Data analysis

HIPAA compliance

MS Office

Tools

MS Office

Job description

NuVasive Clinical Services, a subsidiary of Globus Medical Inc., is a leading provider of intraoperative neuromonitoring (IOM) services to surgeons and healthcare facilities. IOM technology gives those in the operating room real-time insight into the nervous system, which can help surgeons reduce surgical risk by providing critical information and alerts throughout the procedure.

Position Summary

As a Billing and Collections Specialist with NuVasive Clinical Services, you will provide administrative support in the billing and collections function of the medical revenue cycle process. Responsibilities include preparing new charges, completing insurance verification, maintaining patient records, and collecting on outstanding accounts receivable. Please note this is a hybrid role in Columbia, MD.

Essential Functions

• Obtain needed and or corrected information by contacting the patient, physician's office, hospital, next of kin, insurance carrier, etc.
• Verify all patient information uploaded is accurate
• Activate and bill patients within the billing system
• Maintains the database by entering, updating, and retrieving data, as well as formatting and generating reports
• Assists in resolution of outstanding accounts receivable problems from past due accounts
• Responds to inquiries from customers or external collection resources
• Places calls and sends messages to those with unresolved issues
• Understands and maintains all governmental, regulatory and company billing and compliance regulations and policies for payers
• Follows-up with payers, patients, and other appropriate parties to collect open billings in a timely manner
• Identifies and reports to management any payer issues with regards to billing and collections
• Reviews, analyzes, and reconciles initial Accounts Receivable and Order Entry exceptions and discrepancies to provide accurate invoicing and prompt payment
• Performs other duties as assigned
• Adheres to the letter and spirit of the company Code of Conduct, the AdvaMed Code, MedTech Code, and all other company policies
• Ensures Compliance with applicable governmental laws, rules, and regulations, both in the United States and internationally, by completing introductory and annual training and maintaining knowledge of compliance as it applies to your role
• Represents the company in a professional manner and uphold the highest standards of ethical business practices and socially responsible conduct in all interactions with other employees, customers, suppliers, and other third parties

Qualifications

• High level of quality awareness, accuracy, and attention to detail
• Strong communication, organizational, and problem-solving skills
• Data-oriented with basic proficiency in MS Office Applications, strong analytical skills, and the ability to create detailed reports
• Sense of urgency and customer-oriented mindset with understanding of Health Insurance Portability and Accountability Act (HIPAA) compliance and Protected Health Information (PHI)
• Ability to work independently, multitask and handle various priorities in a fast-paced environment
• Working knowledge of payer reimbursement guidelines and government, regulatory and company billing and compliance regulations/policies for assigned payers
• Effective verbal and written communication skillsAdheres to the letter and spirit of the company Code of Conduct, the AdvaMed Code, MedTech Code, and all other company policies
• Ensures Compliance with applicable governmental laws, rules, and regulations, both in the United States and internationally, by completing introductory and annual training and maintaining knowledge of compliance as it applies to your role
• Represents the company in a professional manner and uphold the highest standards of ethical business practices and socially responsible conduct in all interactions with other employees, customers, suppliers, and other third parties

Travel and /or Physical Demands

Ability to sit for long periods of time, 6-8 hours per day in front of computer screen

Our Values

• Passionate About Innovation : Improving patient care by delivering advanced technology to our customers is at the core of what we do. We are passionate ab our role in improving the lives of patients by continuously developing better solutions.
• Customer Focused : We listen to our customers' needs and respond with a sense of urgency.
• Teamwork : Working together, anything is possible. We value every person on our team and treat each other with respect. We are accountable to one another and support each other. Together, we make each other stronger.
• Driven : We pursue our mission with energy and passion. We are nimble, results-oriented and decisive. We overcome obstacles that arise in our quest to deliver solutions that will impro