Billing Collection Representative

Billing Collection Representative Akron Children's Hospital - 3.8 Akron, OH Job Details Full-time 8 hours ago Qualifications ICD coding High school diploma or GED Centers for Medicare and Medicaid Services (CMS) Full Job Description Job Description Job Requisition Number 33612 Full-time, 40 hours/week Monday-Friday 8am-4:30pm Remote (prefer candidates that live within commutable distance from Akron, Ohio)

Summary:

The Billing Collections Rep is responsible for resolving unpaid insurance accounts, by contacting insurance companies through various means to solicit payment for applicable patient encounters.

Responsibilities:

Develops positive relationships with payer representatives in order to collect accounts timely. Investigates pended claims to determine why claims were pended and resolve reasons for the pended scenario. Identifies and resolves trends with pended claims, which includes appeals for untimely claim submission and resolving provider credentialing issues. Accurately posts resolutions to accounts including updating and billing insurance and correct and repost. Establishes and maintains provider manuals for assigned insurance carriers and subsequent plans. Monitors physician's enrollment to not exceed timely filing requirements. Other duties as required.

Other information:

Technical Expertise Experience in processing and billing physician claims is required. Experience in the technical aspects of billing and collections required. This includes CPT and ICD coding knowledge, understanding payer remittance coding/process and outcomes analysis/reporting. Experience working with applicable management team members and clinic staff required. Proficiency is the management of CMS formatted claims required. Proficiency in MS Office [Outlook, Excel, Word]. Epic experience is preferred.

Education and Experience Education:

High school diploma or equivalent is required. Bachelor's Degree is preferred.

Certification:

Medical Billing Certificate is preferred.

Years of relevant experience:

Minimum 1 year experience required. 5 years relevant experience preferred.

Years of experience supervising:

None.

Full Time FTE:

1.000000

Status:

Remote