Medical Billing & Collections Specialist

Branch Medical Group; Columbia (MD); Hybrid; USD 45,000 - 60,000; Full time

Job summary

Globus Medical, via NuVasive Clinical Services, is seeking a Medical Billing and Collections Specialist to support the billing and collections workflow. Hybrid role based in Columbia, MD, involving insurance verification, patient record maintenance, and collections activities in the revenue cycle.

Responsibilities include obtaining accurate information, activating and billing, resolving past due accounts, and ensuring regulatory compliance.

Qualifications

• High level of quality awareness, accuracy, and attention to detail.
• Strong communication, organizational, and problem-solving skills.
• Proficiency in MS Office; data-driven with ability to generate reports.
• Understanding of HIPAA and PHI compliance.
• Ability to multitask in a fast-paced environment.

Responsibilities

• Obtain needed and/or corrected information by contacting patients, physicians, hospitals, insurers, etc.
• Verify all patient information uploaded is accurate
• Activate and bill patients within the billing system
• Maintain the database by entering, updating, and retrieving data, and generating reports
• Assist in resolution of outstanding accounts receivable problems from past due accounts
• Respond to inquiries from customers or external collection resources
• Follow up with payers, patients, and other parties to collect open billings in a timely manner
• Comply with governmental, regulatory and company billing and compliance regulations/policies for payers
• Identify and report payer issues with regards to billing and collections
• Review and reconcile initial Accounts Receivable and Order Entry discrepancies to ensure accurate invoicing and prompt payment
• Adhere to company Code of Conduct and industry codes
• Complete required training to maintain compliance knowledge
• Represent the company professionally in all interactions

Skills

Attention to detail

Communication skills

Organizational skills

Problem solving

MS Office

Analytical skills

HIPAA compliance

Independent worker

Tools

MS Office

Job description

At Globus Medical, we move with a sense of urgency to deliver innovations that improve the quality of life of patients with musculoskeletal disorders. Our team is inspired by the needs of these patients, and the surgeons and healthcare providers who treat them. We embrace a culture of exceptional response by partnering with researchers and educators to transform clinical insights into tangible solutions. Our solutions improve the techniques and outcomes of surgery so patients can resume their lives as quickly as possible.

NuVasive Clinical Services, a subsidiary of Globus Medical Inc., is a leading provider of intraoperative neuromonitoring (IOM) services to surgeons and healthcare facilities, through the acquisitions of Impulse Monitoring, Biotronic NeuroNetwork, Safe Passage, and others. 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 Medical 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

Reasonable accommodations may be made to enable individuals with disabilities to perform theseessential functions.

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 skills
• 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

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

Our Life Moves Us philosophy is built on four values: Passionate About Innovation, Customer Focused, Teamwork, and Driven.

• 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 improve the lives of our customers and patients.

Equal Employment Opportunity

Globus Medical is an equal opportunity employer. All applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, age, disability, marital status, pregnancy, national origin or citizenship. We are committed to a diverse workforce. We value all employees’ talents and support an environment that is inclusive and respectful.

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.