Sr. Billing & Collection Specialist

enovis

New York (NY)

On-site

USD 65,000 - 90,000

Full time

9 days ago
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Job summary

Enovis is seeking a Sr. Billing & Collections Specialist to oversee complex billing and collections activities, ensuring accurate revenue cycle operations. You will manage high-risk accounts, analyze denial trends, and partner cross-functionally to improve collections efficiency.

The role reports to the Manager, Billing & Collections, and is based at DJO Billerica with up to 10% travel. A strong background in medical billing, leadership, and payer regulations is required.

Qualifications

  • High School Diploma or GED required.
  • Associate degree preferred.
  • Minimum of 5 years of experience in medical billing and collections.
  • Demonstrated experience leading teams.
  • Proficiency in Microsoft Office.
  • Knowledge of billing and collections regulations.
  • Experience with Dataworks, TIMS, or similar software strongly preferred.
  • Demonstrated customer service expertise.

Responsibilities

  • Prepare, edit, and submit account billing per contracts and payer rules.
  • Provide timely, accurate, and high-quality work for AR tasks.
  • Review claims with balances and take actions to collect revenues.
  • Perform collections for cash, aged AR, and denials.
  • Follow up with insurers and patients to collect balances with excellent service.
  • Post insurance denials accurately and timely.
  • Collaborate with offshore partners to ensure audits and processing.
  • Identify root causes of denials and drive corrective actions.
  • Ensure secondary bills and patient invoices are generated promptly.

Skills

Accounts Receivable
Medical billing
Collections
Team leadership
Microsoft Office
Insurance contracts
Billing software

Education

High School Diploma or GED
Associate degree

Tools

Dataworks TIMS
Third-party billing software

Job description

Who We Are

ABOUT ENOVIS™
Enovis Corporation (NYSE: ENOV) is an innovation-driven medical technology growth company dedicated to developing clinically differentiated solutions that generate measurably better patient outcomes and transform workflows. Powered by a culture of continuous improvement, global talent and innovation, the Company's extensive range of products, services and integrated technologies fuels active lifestyles in orthopedics and beyond. For more information about Enovis, please visit www.enovis.com .

What You'll Do

At Enovis™ we pay attention to the details. We embrace collaboration with our partners and patients, and take pride in the pursuit of scientific excellence - with the goal of transforming medical technology as we know it.

Because that's how we change the lives of patients for the better. And that's how we create better together. Why work at Enovis? See for yourself .

As a key member of the Revenue Cycle Management Team, you will play an integral part in helping Enovis drive the medical technology industry forward through transforming patient care and creating better patient outcomes.

Job Title: Sr. Billing and Collections Specialist

Reports To: Manager, Billing & Collections

Location: DJO Billerica

Business Unit: Revenue Cycle Management

Role Summary

The Sr. Billing & Collections Specialist is a subject‑matter expert responsible for overseeing complex Billing and Collections activities while supporting the accuracy, compliance, and optimization of revenue cycle operations. This role manages high-risk or escalated accounts, identifies denial and process trends, partners cross-functionally to drive improvements, and serves as a resource to team members to ensure timely collections, reduced aging, and exceptional service to internal and external stakeholders.

Key Responsibilities
  • Prepares, edits, and submits account billing in a timely manner and in accordance with customer contract and payer rules and regulations.
  • Demonstrates exceptional service and integrity related to customer accounts through accurate, timely, relevant, and quality work efforts of all Accounts Receivable or assigned tasks.
  • Review claims with outstanding balances and identify actions to successfully collect revenues.
  • Performs collections for the Revenue Cycle Management Department related to cash collections, aged accounts receivable, and denials.
  • Reviews claims with outstanding balances and identifies actions to successfully collect revenues.
  • Follows up with insurers and patients to collect outstanding balances while providing exceptional customer service focused on building enduring business relationships.
  • Posts all insurance denials in a timely and accurate manner.
  • Collaborates with offshore Cognizant partners to ensure appropriate audits are taking place and that the Collections Team is appropriately processing the claims denied.
  • Works to minimize third-party payor denials by identifying trends in claim denials and partnering with various cross-functional departments.
  • Identifies reasons for denials, takes required corrective action, and takes ownership of claims through timely and successful collection.
  • Identifies root causes for initial denials and gaps associated with existing workflows.
  • Ensures that secondary bills and patient invoices are accurately generated and submitted on a timely basis.
  • Accurately identifies and updates various types of insurance entry information as needed.
  • Responsible for identifying potential errors that require necessary coding reviews, corrections, or adjustments.
  • Reviews self-pay accounts to determine if all collection efforts have been exhausted.
Minimum Basic Qualifications
  • High School Diploma or GED required.
  • Associate degree preferred.
  • Minimum of 5 years of experience in medical billing and collections required.
  • Demonstrated experience leading teams required.
  • Proficiency in Microsoft Office applications required.
  • Knowledge of billing and collections regulations required.
  • Experience in a healthcare environment required.
  • Knowledge of insurance contract practices, third-party billing and billing to private clients required.
  • Experience using Dataworks, Computers Unlimited TIMS, or similar third-party billing software strongly preferred.
  • Demonstrated customer service expertise.
Travel

Must be able to travel up to 10% of the time.

Typical work-related travel assignments range from 1 to 5 days, and as such, overnight, out-of-town stays are required.

Work Environment | Physical Demands

Typical office environment.

Physical Demands : May occasionally lift up to 10 pounds. Routinely uses standard office equipment , including computers, keyboards, phones, and printers . Required to talk and hear. Must be able to sit and stand for extended periods of time and use hands and fingers to handle or feel, and to manip

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