Main Objective:
The Medical Billing and Collections Specialist focus is on collections and ensuring timely recovery of outstanding payments. In this role, you will play a critical part in maintaining the financial health of our organization by tracking overdue accounts, resolving payment issues, and building effective communication channels with patients and insurance providers. Your expertise in medical billing and collections will help streamline revenue cycles and uphold compliance with healthcare billing standards.
Job Description
Role and Responsibilities Collections Management:
- Monitor and manage accounts receivable to ensure timely collection of outstanding balances.
- Communicate with patients and insurance providers to resolve payment issues and secure payments.
- Develop and implement effective follow−up strategies for overdue accounts.
Claims Resolution:
- Research and resolve denied or underpaid claims with insurance companies.
- Work closely with billing team members to ensure accurate claims submissions and resubmissions.
Administration:
- Record detailed records of collections activities, payments, and account statuses.
Accounts Receivable:
- Generate and process invoices to customers and insurance payers, ensuring accuracy and timely billing.
- Monitor and track incoming payments in ARD and Brightree
- Reconcile accounts receivable transactions and investigate discrepancies between payments, invoices, and account balances, resolving issues promptly.
- Follow up on outstanding balances and past-due accounts to ensure timely collection of payments.
- Maintain organized and detailed documentation of billing, payments, and account activity.
Billing Compliance:
- Ensure adherence to healthcare billing regulations, including Medicare guidelines and payer−specific requirements.
- Maintain confidentiality and comply with HIPAA standards in all billing and collections activities.
Collaboration and Communication:
Qualifications and Education Requirements
- Minimum of 2 years of DME medical billing and collections experience (Preferred)
- Medicare billing experience is a plus but not mandatory.
- Proficient in Microsoft Excel, with the ability to analyze data and create reports.
- Strong attention to detail, organizational skills, and the ability to prioritize tasks effectively.
- Loyal, dedicated professional with a stable work history (no job hoppers).
Preferred Qualifications
- Familiarity with durable medical equipment (DME) billing and collections.
- Experience using billing and collections software or electronic medical records systems.
- Excellent communication and negotiation skills to address sensitive financial matters professionally.
- Work with members of the finance team to reconcile accounts and address discrepancies.
- Provide updates to the Finance Supervisor regarding collections performance and areas for improvement.
WP&H LLC is proud to be an equal opportunity employer. We celebrate diversity and are committed to fostering an inclusive workplace for all employees.
Job Type: Full-time
Pay: $24.00 - $26.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Paid time off
- Parental leave
- Referral program
- Vision insurance
Work Location: In person
