billing and collections specialist

enara health

<div><div><div><b>About Enara</b></div>
<div>
Enara is a world renowned obesity and medical weight loss start-up, based in Silicon Valley, pioneering the use of data, digital, and clinical treatments to provide personalized plans with measurable results. Enara was founded by people from Stanford, UCSF, Kaiser, ClassPass &amp; Evernote. Our mission is to develop the first ever platform to scale obesity treatment. Our platform allows for the latest breakthroughs in nutrition, exercise, and obesity science to be optimized and delivered in a series of personalized and programmable experiences. Our solutions are disseminated through unified products and services we deploy for the healthcare ecosystem; with a current focus on small to medium sized medical groups and clinics. Our platform has served over 2000 members and delivers world leading 16%+ weight loss sustained over 3 years. We deliver life changing care to members and we are redesigning the clinic-patient . We are backed by Offline.VC, Charge.VC, VSC, Continuum Ventures, as well as many prominent angels in Silicon Valley.</div>
<div><b>
Team Values</b></div>
<div>
1. Empathy (First) <b>- </b>Every patient&rsquo;s journey is unique, and we approach each with compassion and understanding, always treating patients with dignity.</div>
<div>
2. Empowerment (Through Partnership)<b> - </b>Patients are partners in their health journey. We strive to educate, motivate, and support them at every step.</div>
<div>
3. Respect for Diversity <b>- </b>We embrace and honor the unique backgrounds, cultures, and identities of every individual, fostering an environment of inclusion and understanding.</div>
<div>
4. Innovation (for Change) - We&rsquo;re committed to challenging the status quo in healthcare, advancing technology and protocols to create sustainable health outcomes.</div>
5. Service - Heart of Service - With humility and purpose, we dedicate ourselves to serving others, putting compassion and commitment at the heart of everything we do.</div>
<h3 class="jobSectionHeader"><b>Position Overview</b></h3><div>
<p>
The Billing and Collections Specialist has the important role of managing the full lifecycle of patient accounts for Enara Health's obesity and weight loss program. You will be responsible for ensuring insurance verification, accurate billing, proactive denial management, and payment posting. The ideal candidate will demonstrate excellent communication skills, a deep understanding of healthcare billing practices, and a patient-centered approach.</p>
</div><h3 class="jobSectionHeader"><b>
Key Responsibilities:</b></h3><div>
<p><b>
Claims &amp; Billing Management</b></p>
<ul>
<li><div>Manage billing within the practice management system, focusing on working draft invoices and resolving rejections.</div>
</li>
<li><div>Perform final reviews for duplicate claims and manage the accurate export of billing data.</div>
</li>
<li><div>Handle Remote Patient Monitoring (RPM) submissions to ensure timely reimbursement.</div>
</li>
<li><p>Review billing data for completeness and accuracy and ensure all provider notes are signed.</p>
</li>
</ul><p><b>Eligibility &amp; Membership Management</b></p>
<ul>
<li><div>Call insurance companies to verify eligibility and benefits for new leads, utilizing portals such as OneSource and Availity.</div>
</li>
<li><div>Activate new accounts in the patient account management system for membership switches.</div>
</li>
<li><div>Review and collect patient balances in the practice management system.</div>
</li>
<li><p>Identify cases requiring authorization, compile medical records, and submit requests via portal or fax.</p>
</li>
</ul><p><b>Collections &amp; Payment Posting</b></p>
<ul>
<li><div>Process payments and refunds and inform patients of overdue balances.</div>
</li>
<li><p>Focus on account escalations, working large balances, and clearing payer blockers to ensure consistent cash flow.</p>
</li>
<li><p>Review and complete auto-posted payments in the practice management system, ensuring SFTP remit files and EOBs are properly reconciled daily.</p>
</li>
</ul></div><h3 class="jobSectionHeader"><b>Qualifications:</b></h3><div>
<p><b>
Education:</b></p>
<ul>
<li><p>High school diploma or GED required; Associate or Bachelor&rsquo;s degree in Healthcare Administration, Finance, or a related field preferred.</p>
</li>
</ul><p><b>Experience:</b></p>
<ul>
<li><p>Proven experience in Revenue Cycle Management (RCM), patient collections, or medical billing/coding, preferably supporting a specialized healthcare program.</p>
</li>
</ul><p><b>Skills:</b></p>
<ul>
<li><div>Skilled in using an Electronic Medical Record (EMR), practice management system, payer portals, and a comprehensive understanding of insurance verification and eligibility.</div>
</li>
<li><p>Strong ability to perform root-cause analysis on denials and resolve complex billing discrepancies.</p>
</li>
</ul><div><p><b>Attributes:</b></p>
<ul>
<li><div>Excellent professional communication skills for frequent interaction with insurance companies, patients, and internal provider teams.</div>
</li>
<li><div>High level of professionalism, patience, and empathy when working with patients on sensitive financial issues.</div>
</li>
<li><p>Ability to support occasional weekend coding tasks or approved overtime to meet critical submission deadlines.</p>
</li>
</ul></div></div><div><ul><li><div>Must be available Monday-Friday during the hours of 8am-5pm PST</div>
</li>
<li><p>Compensation depending on experience.</p>
</li>
</ul></div><p>We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.</p></div>

Billing and Collections Specialist

Piedmont Retina Specialists

<p><b>Job Title:</b> Billing and Collections Specialist<br/><b>Location:</b> Greensboro, NC<br/><b>Practice Type:</b> High-Volume Ophthalmology Practice<br/><b>Employment Type:</b> Full-Time</p><p><b>Overview:</b><br/>Our well-established retina ophthalmology practice in Greensboro, NC is seeking a detail-oriented and experienced <b>Billing and Collections Specialist</b> to join our dynamic team. This role requires a strong background in medical billing specific to ophthalmology, with a focus on Medicare, Medicaid, and commercial insurance plans. The ideal candidate is not only technically proficient but also empathetic and professional when working with patients&mdash;especially our elderly population.</p><p><b>Key Responsibilities:</b></p><ul><li>Accurately process and manage billing for a high-volume ophthalmology practice</li><li>Ensure proper coding with ICD-10 and CPT, with a focus on ophthalmologic procedures</li><li>Handle insurance verification, prior authorizations, and eligibility checks</li><li>Manage patient collections with a courteous and compassionate approach</li><li>Address patient billing inquiries clearly and effectively</li><li>Work collaboratively with clinical and administrative teams to resolve billing discrepancies</li></ul><p><b>Qualifications:</b></p><ul><li>Minimum 2 years of experience in medical billing and collections, preferably in ophthalmology/retina</li><li>Proficient in ICD-10, Medicare/Medicaid billing guidelines, and EMR systems</li><li>Strong understanding of insurance policies including Medicare Advantage and NC Medicaid</li><li>Excellent organizational, communication, and problem-solving skills</li><li>Ability to maintain a professional and kind demeanor, especially with elderly patients</li><li>Dependable and punctual, with a strong work ethic and attention to detail</li></ul><p><b>Preferred Traits:</b></p><ul><li><b>Team Player:</b> Willing to collaborate and assist where needed</li><li><b>Excellent Communicator:</b> Able to understand and convey information clearly</li><li><b>Highly Reliable:</b> Consistently punctual and committed to quality patient care</li><li><b>Positive Attitude:</b> Displays grace, patience, and kindness in all interactions</li><li><b>Self-Starter:</b> Proactively takes initiative and uses time efficiently</li></ul><p><b>Compensation &amp; Benefits:</b></p><ul><li>Competitive salary based on experience</li><li>Health insurance (company-sponsored) after 90 days</li><li>Paid holidays</li><li>3 weeks of paid vacation per year</li><li>401(k) with company match after one year</li><li>Bonus structure available after one year of employment</li></ul><p>Job Type: Full-time</p><p>Pay: $22.00 - $25.00 per hour</p><p>Benefits:</p><ul><li>401(k)</li><li>401(k) matching</li><li>Health insurance</li><li>Paid time off</li></ul><p>Work Location: In person</p>

Billing and Collections Representative

Front Desk Helpers

<p></p><div><p><b>Europe location preferred</b></p>
<p>Front Desk Helpers (frontdeskhelpers.com) is a woman-founded outsourcing company based in New Jersey, USA, established in 2015. Our expertise lies in providing talent solutions across industries such as healthcare, IT, telecommunications, transportation, architecture, and HR management.</p>
<p>At Front Desk Helpers, we are committed to providing stable job opportunities, fostering ongoing personal growth, and facilitating collaboration with top-tier international professionals. If our values align with yours, we encourage you to submit your application! We are currently seeking a <b>Medical Billing and Collections Specialist</b> for a billing company/revenue cycle collection company in New York.</p>
<p>Please note that candidates will be required to complete training.</p>
<p><b>Role Description:</b></p>
<p>This is a full-time remote role for a Medical Biller at Front Desk Helpers. The Medical Biller will be responsible for processing medical claims, handling denials, utilizing medical codes, and ensuring accurate reimbursement. The role will involve working closely with healthcare providers, insurance companies, and the Workers Compensation Board to facilitate timely and accurate payments.</p>
<p><b>Qualifications/skills:</b></p>
<ul><li>Medical Terminology</li>
<li>Experience with US Insurance and medical billing</li>
<li>Knowledge of denial management</li>
<li>Strong attention to detail and accuracy in billing</li>
<li>Excellent communication and interpersonal skills</li>
<li>Certification in Medical Billing or a related field is a plus</li>
<li>Be prepared to work under strict supervision while on training/duty</li>
<li>English (Advanced)</li>
<li>Fast-speed internet connection and a laptop/PC</li>
</ul><p><b>Working hours:</b></p>
<p>Monday through Thursday, 9:00 am-5:30 pm (30 min lunch break included), and Friday 9:00 am-3:00 pm (30 min lunch break included). All shifts are according to the New York time zone</p>
<p><b>What do we offer:</b></p>
<ul><li>Competitive salary paid in USD twice per month will be discussed during the interview</li>
<li>Work in an experienced team under the supervision of a manager</li>
<li>Paid lunch break</li>
<li>Ability to work remotely</li>
<li>7 days of paid vacation annually after one year of employment</li>
<li>Open-minded management, who are easy to contact</li>
<li>Self-development courses powered by popular platforms</li>
<li>Constant technical support</li>
</ul><p><b>How to Apply: </b>Submit your resume detailing relevant experience and language proficiency here or send it to <b>career@fontdeskhelpers.com</b></p>
<p><b>Looking forward to hearing from you!</b></p><div></div><div><div><br>
<p>We believe in Tomorrow, and passion is contagious.
<br>
We aim high! We build a company where each of our team members cares about each other, our products and our clients.</p></div></div></div><p></p>

Medical Billing & Collector

Surgery Ventures

<p></p><div><h5 class="jobSectionHeader"><b>Introduction</b></h5><p>
This is an in-office position. Hours are Monday-Thursday 7:30-4:30, Friday 7:30-2</p><p>
Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. Submit your application for the opportunity below:Collections SpecialistSurgery Ventures</p><h5 class="jobSectionHeader"><b>
Benefits</b></h5><p>
Surgery Ventures offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:</p><ul><li>
Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.</li><li>
Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.</li><li>
Free counseling services and resources for emotional, physical and financial wellbeing<br>
</li><li>401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)<br>
</li><li>Employee Stock Purchase Plan with 10% off HCA Healthcare stock<br>
</li><li>Family support through fertility and family building benefits with Progyny and adoption assistance.<br>
</li><li>Referral services for child, elder and pet care, home and auto repair, event planning and more<br>
</li><li>Consumer discounts through Abenity and Consumer Discounts<br>
</li><li>Retirement readiness, rollover assistance services and preferred banking partnerships<br>
</li><li>Education assistance (tuition, student loan, certification support, dependent scholarships)<br>
</li><li>Colleague recognition program<br>
</li><li>Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)<br>
</li><li>Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.</li></ul><p>
Learn more about Employee Benefits</p><p><b><i>
Note: Eligibility for benefits may vary by location.</i></b><br>
</p><p>We are seeking a Collections Specialist for our team to ensure that we continue to provide all patients with high quality, efficient care. Did you get into our industry for these reasons? We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply!</p><h5 class="jobSectionHeader"><b>
Job Summary and Qualifications</b></h5><p></p><p>
As the Collections Representative, you will contribute to the company&rsquo;s mission, vision, and values by completing follow-up and collections for patient services. Under the supervision of the Business Office Manager/Business Office Supervisor, you will obtain payment from third party payers and self-pay accounts to enhance cash flow and gather reimbursement based on established contracts.
</p><p></p><p><b>What you will do in this role:</b></p><p></p><ul><li>
You will perform follow up activities on accounts to ensure prompt payment</li><li>
You will identify coding or billing errors from EOBs and work to correct them</li><li>
You will monitor insurance claims and contact insurance companies to resolve claims
</li><li>You will update the patient account record to identify actions taken</li><li>
You will assign bad debt to the collection agency
</li><li>You will act as a liaison accounts and administer contracts in collection of third party accounts (Medicare and Medicaid)</li><li>
You will complete account reconciliation of accounts turned over to outside agencies</li><li>
You will negotiate payment plans on self-pay accounts
</li><li>You are responsible for maintaining accounts receivable and creating a reduction in bad debt
</li></ul><p></p><p><b>Qualifications you will need:</b></p><p></p><ul><li>
Minimum (1) year of experience in a medical office setting highly preferred. (i.e. ambulatory surgery center, hospital, doctors office) preferred</li><li>
Knowledge of managed care payers and medical terminology is preferred</li></ul><p></p><p>
Consider a fulfilling and secure career with Surgery Ventures, in partnership with HCA Healthcare. Our team of over 3,400 physicians manages more than 150 surgery centers across 16 states in the United States. As a dedicated unit within HCA Healthcare, we prioritize providing safe, efficient, and premium surgical services. With over 30 years of pioneering experience in the industry, our physician partners offer exceptional outpatient care to over 800,000 patients in communities across our network. We do so with the backing of the clinical, operational, and financial expertise of a Fortune 100 healthcare leader. At Surgery Ventures, we are committed to supporting your career growth and advancement at every stage.</p><p>
HCA Healthcare has been recognized as one of the World&rsquo;s Most Ethical Companies&reg; by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses</p><br>
<p></p><p>&quot;There is so much good to do in the world and so many different ways to do it.&quot;- Dr. Thomas Frist, Sr.<br>
HCA Healthcare Co-Founder<br>
</p><p>If you find this opportunity compelling, we encourage you to apply for our Collections Specialist opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of our team. <b>We are interviewing - apply today!</b></p><p><i>
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.</i></p></div>

Collections Specialist

RGH Global

<p>JOB RESPONSIBILITIES:</p><p>Ensuring the accurate and timely billing and payment for RPM services rendered to patients</p><p> Ensuring accurate patient demographics are captured such as insurance information,</p><p> Preparing and submitting claims to insurance companies</p><p> Following up on outstanding and denied claims</p><p> Processing payment postings</p><p> Investigate and resolve billing disputes and denials</p><p> Follow up with insurance companies on unpaid claims and rejections</p><p> Research and analyze medical billing data to identify billing trends and payment patterns</p><p> Develop and maintain relationships with healthcare providers and insurance companies to facilitate payment processing and resolution of billing issues</p><p> Provide regular reports on billing and collections activities to management</p><p> Collaborate with cross-functional teams to improve billing processes and workflow</p><p>JOB REQUIRMENTS</p><p> Minimum of 3 years of experience in medical billing and collections, preferably in a fast-paced environment</p><p> Strong knowledge of medical billing and coding practices, as well as healthcare regulations and insurance policies</p><p> Experience in RPM billing preferred</p><p> Bachelor&rsquo;s Degree &ndash; Computer science, Healthcare Administration, or Commerce related degree preferred</p><p> Proficiency in English Language, proficiency in GSuite and Slack</p><p> Outstanding problem-solving and organizational abilities</p><p> Solid understanding of billing software and electronic medical records</p><p> Exceptional communication and time management skills</p><p> Attention to detail is a must</p><p> Demonstrated ability to work independently</p><p> Knowledge of HIPAA requirements related to medical records and billing requirements</p><p> Ability to manage multiple projects concurrently</p><p>Pay: Rs80,000.00 - Rs200,000.00 per month</p><p>Application Question(s):</p><ul><li>How many years of experience do you have in medical billing, and how much of that includes handling RPM (Remote Patient Monitoring) billing end-to-end?</li><li>How many years of experience do you have working on RPM claims, including submission, denial management, and payment posting?</li><li>Kindly quote your salary expectations and required notice period.</li><li>Are you comfortable working in an onsite shift?</li></ul><p>Work Location: In person</p>

Medical Billing Specialist

HCA Healthcare

<p></p><div><p>**After 90 days, Hybrid/Remote work may be available &ndash; Interested candidates must live in the local Kansas City metro area.** Hours: 7:30AM-4:00PM**</p><p>
Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As an Insurance Specialist with HCA Healthcare you can be a part of an organization that is devoted to giving back!</p>
<p></p><h5 class="jobSectionHeader"><b>Job Summary and Qualifications</b></h5><p>
As the Collections Representative, you will contribute to the company&rsquo;s mission, vision, and values by completing follow-up and collections for patient services. Under the supervision of the Business Office Manager/Business Office Supervisor, you will obtain payment from third party payers and self-pay accounts to enhance cash flow and gather reimbursement based on established contracts.</p><p></p><p>
What you will do in this role:</p><p></p><ul><li>
You will perform follow up activities on accounts to ensure prompt payment</li><li>
You will identify coding or billing errors from EOBs and work to correct them</li><li>
You will monitor insurance claims and contact insurance companies to resolve claims</li><li>
You will update the patient account record to identify actions taken</li><li>
You will assign bad debt to the collection agency</li><li>
You will act as a liaison accounts and administer contracts in collection of third partyaccounts (Medicare and Medicaid)</li><li>
You will complete account reconciliation of accounts turned over to outside agencies</li><li>
You will negotiate payment plans on self-pay accounts</li><li>
You are responsible for maintaining accounts receivable and creating a reduction in bad debt</li></ul><p></p><p>
Qualifications you will need:</p><p></p><ul><li>
Minimum (1) year of experience in a medical office setting highly preferred. (i.e. ambulatory surgery center, hospital, doctors office) preferred</li><li>
Knowledge of managed care payers and medical terminology is preferred</li></ul><p></p>
<p></p><h5 class="jobSectionHeader"><b>Benefits</b></h5>
<p></p><p>HCA Healthcare, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:</p><ul><li><b>
Comprehensive benefits</b> for medical, prescription drug, dental, vision, behavioral health and telemedicine services</li><li><b>
Wellbeing support,</b> including free counseling and referral services</li><li><b>
Time away from work</b> programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence</li><li><b>
Savings and retirement resources</b>, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling</li><li><b>
Education support</b> through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing</li><li><b>
Additional benefits</b> for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts</li></ul><p>
Learn more about Employee Benefits</p><p><b><i>
Note: Eligibility for benefits may vary by location.</i></b></p><p></p><p>
At the Surgery Ventures Central Business Office in MidAmerica, we support financial and patient care operations of 10 ambulatory surgery centers across the Kansas City Metro. Staff are assigned to work with one or more surgery centers via remote, in office and hybrid working environments.
</p><p>HCA Healthcare has been recognized as one of the World&rsquo;s Most Ethical Companies&reg; by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.</p><p></p><p><br>
&quot;There is so much good to do in the world and so many different ways to do it.&quot;- Dr. Thomas Frist, Sr.<br>
HCA Healthcare Co-Founder</p>
<p>Be a part of an organization that invests in you! We are reviewing applications for our Insurance Specialist opening. Qualified candidates will be contacted for interviews. Submit your application and <b><i>help us raise the bar in patient care!</i></b></p><p><i>
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.</i></p></div>

Insurance Specialist

ThedaCare

<div><p><b>Why ThedaCare?</b></p><p></p><p>
Living A Life Inspired!</p><p></p><p>
Our new vision at ThedaCare is bold, ambitious, and ignited by a shared passion to provide outstanding care. We are inspired to reinvent health care by becoming a proactive partner in health, enriching the lives of all and creating value in everything we do. Each of us are called to take action in delivering higher standards of care, lower costs and a healthier future for our patients, our families, our communities and our world.</p><p></p><p>
At ThedaCare, our team members are empowered to be the catalyst of change through our values of compassion, excellence, leadership, innovation, and agility. A career means much more than excellent compensation and benefits. Our team members are supported by continued opportunities for learning and development, accessible and transparent leadership, and a commitment to work/life balance. If you&rsquo;re interested in joining a health care system that is changing the face of care and well-being in our community, we encourage you to explore a future with ThedaCare.</p><p></p><p>
Benefits, with a whole-person approach to wellness &ndash;</p><ul><li>
Lifestyle Engagement<ul><li>
e.g. health coaches, relaxation rooms, health focused apps (Wonder, Ripple), mental health support</li></ul></li></ul><p></p><ul><li>
Access &amp; Affordability<ul><li>
e.g. minimal or zero copays, team member cost sharing premiums, daycare</li></ul></li></ul><p></p><p>
About ThedaCare!</p><p></p><div><b>
Summary :</b></div>
The Accounts Receivable Specialist is responsible for submitting accurate billing to appropriate payers and actively following up on claims to ensure timely adjudication and reimbursement. This role communicates directly with commercial, governmental, and other third-party payers, as well as patients, guarantors, family members, and internal medical staff, to resolve claim issues and manage accounts receivable efficiently. The specialist identifies and resolves denials, underpayments, payment delays, and no-response claims while ensuring compliance with payer requirements and regulatory standards.<p></p><div><b>
Job Description:</b></div><p><b>
KEY ACCOUNTABLITIES:</b></p><ul><li>
Reviews, analyzes, and processes billed claims for accuracy upon submission, including charges, subscriber data, diagnosis and procedure codes, late charges, and supporting documentation.</li><li>
Submits claims in a timely manner in accordance with payer contracts, federal and state regulations, departmental standards, and form requirements.</li><li>
Follows up directly with commercial, governmental, and other payers via phone, correspondence, and electronic systems to resolve unpaid, underpaid, denied, or rejected claims.</li><li>
Identifies specific reasons for denials, underpayments, and payment delays; takes appropriate corrective action to secure reimbursement.</li><li>
Prepares, drafts, and submits technical and clinical appeals as needed, ensuring accurate and complete documentation.</li><li>
Re-bills accounts when new or corrected demographic, insurance, or third-party information is received and updates patient records accordingly.</li><li>
Verifies insurance, payer, and patient demographic information for accuracy at registration and during account follow-up, entering verification data into billing systems as required.</li><li>
Reviews internal and external reports to monitor claim status, payment variances, denial trends, and outstanding accounts.</li><li>
Maintains thorough documentation of all account activity, including payer contacts, phone numbers, correspondence, and actions taken, within the host system and/or tracking tools.</li><li>
Maintains a working knowledge of payer-specific requirements, contracts, and applicable federal and state regulations, applying them appropriately to account resolution.</li><li>
Identifies trends and root causes of accounts receivable issues and communicates findings and recommendations to management.</li><li>
Demonstrates initiative, effective problem-solving and analytical skills with the ability to determine appropriate collection strategies to resolve accounts.</li><li>
Ability to meet productivity and quality standards.</li></ul><p></p><p><b>
QUALIFICATIONS</b></p><ul><li>
One year previous experience in Revenue Cycle/Medical billing, follow up and collections or related degree/certification in Healthcare Management.</li><li>
Proficiency in basic computer applications, including Microsoft Excel.</li><li>
High School diploma or GED preferred.</li><li>
Strong verbal and written communication skills.</li><li>
Must be at least 18 years of age.</li></ul><p></p><p><b>
PHYSICAL DEMANDS:</b></p><ul><li>
Ability to move freely (standing, stooping, walking, bending, pushing, and pulling) and lift up to a maximum of twenty-five (25) pounds without assistance</li><li>
Job classification is not exposed to blood borne pathogens (blood or bodily fluids) while performing job duties</li></ul><p></p><p><b>
WORK ENVIORNMENT</b></p><ul><li>
Climate controlled office setting with daily movement throughout the facility</li><li>
Interaction with department members and other healthcare providers</li><li>
Work schedule is remote, hybrid or in office.</li></ul><p></p><div><b>
Scheduled Weekly Hours:</b></div>
40<div><b>
Scheduled FTE:</b></div>
1<div><b>
Location:</b></div>
ThedaCare Corporate Office - Neenah,Wisconsin<div>
Overtime Exempt:</div>
No<div><b>
Worker Shift Details:</b></div>
Days</div><p></p>

Accounts Receivable Specialist

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