Billing & Collections Specialist

GenesisCare; United States; Remote; USD 10,000 - 60,000; Full time

Job summary

An established industry player is seeking a Billing & Collection Specialist to join their team. This role is crucial for ensuring timely payments from insurance companies, involving tasks like denial research, claims submission, and coordination with various departments. The ideal candidate will have a strong understanding of medical billing processes and insurance requirements, along with proficiency in Microsoft Office. Join a forward-thinking organization dedicated to improving patient outcomes and delivering high-quality care. This position offers an opportunity to make a significant impact in the healthcare field while working in a supportive and innovative environment.

Qualifications

• 1-3 years of experience in the healthcare field is required.
• Advanced knowledge of Microsoft Office products is essential.

Responsibilities

• Prepare and re-submit medical billing claims to insurance carriers.
• Investigate and resolve denials of payment from insurance carriers.
• Monitor claims for prompt payment from insurance carriers.

Skills

Medical Billing

Denial Research

Claims Submission

Insurance Knowledge

Microsoft Office

Education

High School Diploma or Equivalent

Tools

Intergy System

Job description

At GenesisCare we want to hear from people who are as passionate as we are about innovation and working together to drive better life outcomes for patients around the world.

Billing & Collection Specialist

Role Summary:
This role is responsible for collecting payments from various insurance companies. Collections activities include denial research, submission of appeals, and follow-up on no-response and partial paid claims. This includes identifying consistent payer related payment delays and communicating patterns to management. This position will be responsible for making sure the corrected claims are sent out in a timely manner. Coordinators will also support registration and insurance changes.

Your Key Responsibilities:

1. Prepare and re-submit medical billing claims to insurance carriers either electronically or by hard copy billing.
2. Secure needed medical documentation required or requested by insurance carriers.
3. Investigate, analyze, and resolve the reason for denials of payment from insurance carriers.
4. Process denials of payment from insurance carriers until claims are paid or amounts that are assigned to patient responsibility.
5. Keep updated on all insurance carrier billing requirements and changes for insurance types within the area of responsibility.
6. Monitor claims for prompt payment received from insurance carriers.
7. Coordinate and work with staff from various departments to accomplish proper actions to prompt payment from the insurance carrier.
8. Demonstrate knowledge of, and support, standards, policies and procedures, operating instructions, confidentiality standards, and the code of ethical behavior.
9. Perform other responsibilities as required.
10. Ensure proper documentation is attached to corrected claims, if needed.
11. Make sure corrected claims are sent out electronically or mailed in a timely manner.
12. Occasionally assist with Special Corrected Claims projects.
13. Update insurance information as necessary.
14. Other duties as assigned.

Minimum Qualifications:
• High school or equivalent education
• 1-3 years’ experience in Health Care field
• Advanced Knowledge in Microsoft Office products

Preferred Qualifications:
• Experience with Intergy system

About GenesisCare:
An integrated oncology and multispecialty network in Florida and North Carolina providing care for more than 120,000 patients annually, GenesisCare U.S. offers community-based cancer care and other services at convenient locations. The company’s purpose is to redefine the care experience by improving patient outcomes, access and care delivery. With advanced technology and innovative treatment options, skilled physicians and support staff offer comprehensive and coordinated care in radiation oncology, urology, medical oncology, hematology, diagnostics, ENT and surgical oncology. For more information, visit https://www.genesiscareus.com

GenesisCare is an Equal Opportunity Employer that is committed to diversity and inclusion.