Billing Specialist - Guaynabo PR

Alivia Health; Guaynabo (PR); On-site; USD 32,000 - 52,000; Full time

Job summary

Alivia Health is seeking a Billing Specialist for the Guaynabo, PR location. The role focuses on creating invoices for managed medical plans and secondary plans, handling electronic or paper invoice transmission, and meeting monthly billing close targets.

The position requires a high school diploma, with Medical Billing Certification or equivalent billing experience preferred. Ongoing education in billing is a plus for this role.

Qualifications

• High school diploma required.
• Medical Billing Certification preferred or equivalent to 2 years of billing experience.
• Continuing Education Certificates in billing preferred.

Responsibilities

• Create invoices for managed medical plans (FM Medical Vital, MenonitaVital, Triple S, Humana, MMM, MCS, and others).
• Create invoices for secondary medical plans and foundations.
• Use billing programs and bill within required time and manner.
• Transmit invoices electronically or send paper invoices and confirm transmission.
• Review, analyze, and correct rejected invoices.
• Meet productivity and monthly work plan metrics and monthly billing close.
• Investigate and resolve billing problems and escalate to Supervisor if needed.
• Contact medical offices, patients, and medical plans as necessary.
• Update medical plan rate charts and maintain up-to-date circulars.
• File sent invoices and deactivate paid cases.
• Assist in preparing patient payment agreements, quotes, or proof of receipt.

Education

High School Diploma

Medical Billing Certification

Continuing Education Certificates in billing

Job description

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Billing Specialist - Guaynabo PR

Full Time GUAYNABO, PR, US

Location: Guaynabo

Responsibilities:

• Creation of invoices for managed medicalplans;including but not limited to: FM Medical Vital,MenonitaVital, Triple S (All LOB), Humana, MMM, MCS; among others.
• Creation of invoices for secondary medical plans and foundations.
• Handling anduseofbilling programs.
• Bill within the required time and in the correct manner.
• Responsible for the electronic transmission or sending of paper invoices and for accepting and confirming transmitted invoices.
• Responsible for reviewing, analyzing, and correcting invoices rejected in transmission.
• Meet the productivity and metricsestablishedin the monthly work plans.
• Meet the monthly billing close.
• In charge of investigating and resolving billing problems and referring them to theSupervisor;if necessary.
• Contact medical offices, patients, and medicalplans;if necessary.
• Update medical plan circulars.
• Have up-to-date medical plan rate charts.
• File sent invoices on paper and deactivate paid cases.
• Assisting the preparation of patient payment agreements, quotes, or proof of receipt.

Required:

• High school diploma.
• Medical Billing Certification. (preferred) or equivalent to 2 years of billing experience.
• Continuing Education Certificates in the area of billing. (preferred)

***Equal Opportunity Employer M/F/V/D***