Healthcare Billing & Collections Specialist

ScionHealth; Louisville (KY); On-site; USD 40,000 - 52,000; Full time

Job summary

ScionHealth in Louisville, KY is seeking a hospital medical billing specialist to collect receivables and resolve insurance discrepancies. This role emphasizes accuracy, clear communication, and a strong understanding of payer rules.

You will review discharge patient accounts, determine charges to insurers or patients, and prepare statements for Medicare and other payers. Attention to detail and knowledge of Medicare/state programs are essential.

Qualifications

• 2+ years hospital medical billing experience.
• High School Diploma or Equivalent.
• Must read, write and speak fluent English.
• Knowledge of Medicare, state programs and commercial billing.

Responsibilities

• Reviews patient account files for discharged patients and ensures the accuracy and completeness of all documents.
• Identifies portion of charges to be billed to patients’ insurance companies, Medicare or other third parties, and those to be billed to the patient directly.
• Prepares appropriate billing statements for insurance companies, Medicare or other third parties.
• Replies to patients’ and insurance company requests for information.
• Assists in the preparation of billing activity reports.
• Prepares and maintains billing files and reports.
• Investigates delinquency cases to identify any special circumstances affecting payment delays and follows up with appropriate parties.
• Contacts third party payer organizations and/or patients as necessary to facilitate the timely payment of past due charges or arranges alternative settlement plans.
• Identifies problem delinquencies and recommends their appropriate disposition (i.e., referral to collection agency or other legal action, or write-off).
• Prepares and maintains records and reports documenting the status and amount of past due accounts, and the timing and nature of their disposition.

Skills

Excellent communication

Interpersonal skills

Computer literacy

Billing knowledge

Education

High School Diploma or Equivalent

Job description

ScionHealth in Louisville, KY is seeking a hospital medical billing specialist to collect receivables and resolve insurance discrepancies. This role emphasizes accuracy, clear communication, and a strong understanding of payer rules.

You will review discharge patient accounts, determine charges to insurers or patients, and prepare statements for Medicare and other payers. Attention to detail and knowledge of Medicare/state programs are essential.