Bright Health Hiring for Collections Specialist (AssociatesMD) at Davie, FL Full Time

JOB SUMMARY:

The Medical Billing and Collection Specialist for AssociatesMD, part of NeueHealth, a Bright Health company, is responsible for ensuring accurate billing, timely submission of electronic and/or paper claims, monitoring claim status, researching rejections and denials of payments, documenting related account activities, posting adjustments and collections from Medicare, Medicaid, Medicaid Managed Care, and commercial insurance payers.

Critical thinking skills and an understanding of Medicare, and Medicaid eligibility requirements as well as commercial insurance payer payment methods to correctly record contractual adjustments based on payer contracts or government regulations is necessary. In addition, the medical billing and collection specialist must demonstrate proficiency with the billing system to ensure all functionality is utilized for the utmost efficient processing of claims.

MAJOR DUTIES & RESPONSIBILITIES:

• Responsible for correcting, completing, and processing claims for all payer codes
• Analyze and interpret that claims are accurately sent to insurance companies
• Perform follow-up with Medicare, Medicaid, Medicaid Managed Care, and Commercial insurance companies on unpaid insurance accounts identified through aging s
• Able to identify an appeals-worthy claim and or ability to process appeals online or via paper submission; Assist with billing audit-related information
• Attend provider meetings/ workshops when needed
• Communicate with the billing and credentialing coordinator to identify and resolve audit review issues
• Answer/respond to correspondence related to patient accounts. Is available to answer billing and changes-related inquiries by patients
• Identify trends, and carrier issues relating to billing and reimbursements. findings to Team Lead and/or Supervisor
• Maintain patient confidence and protects medical office operations by keeping patient information confidential
• Contribute to team effort by accomplishing related results as needed
• Ability to read, analyze, and interpret general health and social services guidelines, technical procedures, or governmental regulations.

EDUCATION:

• High school or equivalent

EXPERIENCE:

• At least one (1) year of experience with Medical Collections, Billing, Coding, Appeals, or Records
• ICD-10: 1 year (Preferred)

This position is a work from home position, but the candidate must be based in the Ft. Lauderdale / Broward County area and be able to be in the office as needed for special projects.

We offer comprehensive employee benefits that include medical/dental/vision coverage, 401(K) plan, an HSA, an Employee Assistance Program and annual Paid Time Off along with 8 paid company holidays.