Overview
Job Summary
The Billing and Collections Specialist is responsible for the timely follow-up of claims billed and resolution of accounts. Oversees the account receivables and maintain detailed/accurate account documentation.
Essential Functions and Responsibilities include the following:
- Appeal and/or rebill all open, underpaid/unpaid claims thoroughly, accurately, promptly, and with all supporting documentation
- Identify and complete Medical Necessity appeals
- Responsible for maintaining and updating payor billing and collection guidelines, fee schedules, etc.
- Report all payor issues and/or denial trends to Lead/Supervisor
- Work cross-functionally to complete multiple department assignments
- Review, document, and resolve all incoming correspondence, payor calls, and payments; Assist as needed
- Assist in continuous training and cross-functional efforts
- Other duties as assigned
Additional Job Requirements
- Regular scheduled attendance
- Indicate the percentage of time spent traveling - 0%
Subject to applicable laws and Air Method’s policies, regular attendance is an essential function of the position. All employees must follow Air Methods’ employment practices and policies.
Supervisory Responsibilities
This position has no supervisory responsibilities.
Qualifications
To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. In accordance with applicable laws, Air Methods will provide reasonable accommodations that do not create an undue burden so disabled employees may perform the essential functions of the position.
Education & Experience
- High school diploma or general education degree (GED); and three to four years’ related experience and/or training; or equivalent combination of education and experience
- 4-5 years medical billing and claims reimbursement experience; preferred
- Knowledge of all Government, Commercial and Private payers; required
- Knowledge of medical and billing terminology; required
- Knowledge of HIPAA and other industry specific regulations; required
- Knowledgeable of all companies and modalities; required
- (Internal) Enrolled as Billing & Collections Specialist 2 for a minimum of 1 years; exceptions with manager approval
Skills
- Excellent written and verbal communication skills
- Strong interpersonal skills and a high degree of collaboration at all levels
- Excellent organizational skills, detail oriented, ability to prioritize, multi-task and meet deadlines
- Intermediate customer service and phone skills
- Excellent problem-solving skills and strong ability to complete complex claim analysis
Computer Skills
- Advanced with Microsoft Office, including Word, Excel and Outlook
Certificates, Licenses, Registrations
Air Methods is an EEO/AA employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
Minimum pay
USD $19.53/Hr.
Maximum Pay
USD $28.33/Hr.
Benefits
For more information on our industry-leading benefits, please visit our benefits page here.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)
