7 specialist billing collections Jobs in meridian, id
Northpoint Recovery is Hiring a Collections Specialist Near Meridian, ID
POSITION SUMMARY: As a key member of the Revenue Cycle Management team, this person is responsible for the ongoing collection, denial management, and accounts receivable of assigned accounts. This person will manage and collect outstanding balances from insurance companies for services rendered to Northpoint patients and clients. This role involves working closely with patients, insurance companies, and Northpoint providers to ensure that all payments are collected in a timely manner, and payer denials/rejections are worked and followed up on to exhaustion, or payment of services. The ideal candidate will have a solid understanding of the entire billing life cycle of a patient, to include verifications, pre-authorization, utilization review, appeals, claims submission, claims adjudication, and denials. The ideal candidate will have strong knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems required.
ESSENTIAL RESPONSIBILITIES AND DUTIES INCLUDE BUT ARE NOT LIMITED TO THE FOLLOWING:
- Perform collections to ensure receipt of medical claims within twenty-eight (28) days
- Make outbound telephone calls to insurance companies, and utilize payer portals for claims resolution
- Coordinate with insurance companies to ensure timely payment for services rendered
- Follow existing billing and collection protocols to ensure accurate and timely reimbursement
- Review accounts receivable accounts to ensure accurate reimbursement and identify payer issues affecting payment delays
- Contact payers to get a clear understanding of denials and changes needed to receive payment
- Prepare appeals, when necessary, when claim denials are payer errors
- Document all correspondence with payers in the billing system
- Collaborate and coordinate with Utilization Review for prior authorization/medical necessity documentation
- Knowledge of CMS and Third-party payer regulations and guidelines
- Thorough understanding of Explanation of Benefits
- Maintain accurate records of patient billing and payment information
- Provide reports to management on outstanding balances and collections activity
- Provide excellent communication and customer service skills
- Utilize a strong understanding of insurance billing and coding requirements
- Maintain active working knowledge of Northpoint billing and reimbursement requirements by payer
- Collaborate with RCM team and other departments to ensure successful execution of assigned duties and priorities
- Maintain confidentiality in accordance with established policies and procedures and standards of care
- Adhere to all Company policies and procedures
- Perform other job-related duties as assigned
- Minimum of three (3) years of collections/billing reimbursement in a healthcare system
- Minimum of two (2) years of experience in billing, payer relations or medical A/R
- Minimum of one (1) year of experience in substance use disorder and/or mental health setting required; experience with a facility providing multiple levels of care preferred
- Experience working with commercial medical insurance billing, as well as Medicaid, claims submission, and the technical aspects of billing software
- All-in-one practice management, clearing house and billing software required
- Proficient in navigating through payer portals
- Must be proficient in CPT, HCPCS, and ICD-10 Codes, DSMS and ASAM criteria, data entry for various third party billing and payers, and their reimbursement and denial patterns
- Ability to work well in a team environment, with ability to triage priorities, delegate tasks if needed, and handle conflict in a reasonable fashion
- Problem-solving skills to research and resolve discrepancies, denials, appeals, collections
- Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems required
- KIPU or similar EHR/EMR experience preferred
- Strong organizational skills with the ability to multitask
- Familiarity with major payer guidelines
- Agility in managing multiple priorities concurrently
- Meticulous attention to detail and high level of accuracy is key
- Demonstrated ability to develop both internal and external working relationships
- Proven skills in working independently on several projects concurrently
- Sense of ethics, integrity, and confidentiality about employee and business issues
- Ability to work independently and within a dynamic team environment
- Maintain professional and technical knowledge
- Excellent critical thinking skills and organizational abilities
- Excellent communication skills; ability to communicate clearly and concisely, verbally and in writing
- Quickly and effectively identify and resolve problematic situations
- Comfortable analyzing information and dealing with complexity
- Attention to detail and accuracy
- Able to handle confidential material in a reliable manner
- Ability to interact and communicate with individuals at all levels of organization
- Ability to perform several tasks concurrently with ease and professionalism
- Ability to effectively prioritize workload in a fast-paced environment
- Proficiency with Microsoft Office Suite
- Must be at least twenty-one (21) years of age
- None
- Job performed at a desk in front of a computer
- Requires heavy use of mouse and keyboard
- Indoor office environment
- Though this position is not permanently located in a treatment facility setting, exposure to emotionally impaired patients is possible, and may be frequent. Stress ranges from low to high, depending on the situation
- Completion of a tuberculin screening during first week of employment
- Completion of a pre-employment drug screening, post-accident and upon reasonable suspicion of use
- Completion of orientation and required paperwork prior to reporting to work
- Demonstrated computer literacy
- Attendance at all mandatory staff development and training
- Completion of background and professional reference checks
- $21.00 - $24.00 per hour
- 85% Employer Paid Medical premium for employee level coverage – spouse and dependent premiums are subsidized at 50%
- 100% Employer Paid Basic Life Insurance equal to 1x annual salary
- 100% Employer Paid Employee Assistance Program
- Voluntary Dental, Vision, Short-Term Disability, and Supplemental Life & AD&D Insurance
- Pre-tax Savings Accounts for all IRS-allowable medical and dependent care expenses
- Generous Paid Time Off plan and 10 paid holidays annually
- Employee Referral Bonuses
- 401K Retirement Plan & Employer Match
- Free counseling services and resources for emotional, physical and financial wellbeing
- Consumer discounts through LifeMart
- Free parking!
- Meridian, Idaho; reliably commute or plan to relocate before starting work (Required)
Employees with potential access to protected health information must comply with all procedures and guidelines governed by HIPAA.
Northpoint is an Equal Opportunity Employer. Northpoint is an at-will employer. Employment may be terminated at any time by employee, or employer with or without notice.
Job Summary
Full Time
Ambulatory Healthcare Services
$37k-47k (estimate)
05/26/2024
11/17/2024
northpointrecovery.com
BOISE, ID
50 - 100
2014
Private
<$5M
Ambulatory Healthcare Services
Related Companies
About Northpoint Recovery
Northpoint Recovery operates a drug rehabilitation center that offers treatment for alcohol and drug addiction and mental health disorders.
The job skills required for Collections Specialist include Customer Service, Billing, Accounts Receivable, Problem Solving, Microsoft Office, Attention to Detail, etc. Having related job skills and expertise will give you an advantage when applying to be a Collections Specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Collections Specialist. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Collections Specialist positions, which can be used as a reference in future career path planning. As a Collections Specialist, it can be promoted into senior positions as a Collections Representative III that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Collections Specialist. You can explore the career advancement for a Collections Specialist below and select your interested title to get hiring information.
If you are interested in becoming a Collections Specialist, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Collections Specialist for your reference.
Step 1: Understand the job description and responsibilities of an Accountant.
Quotes from people on Collections Specialist job description and responsibilities
Collections Specialists are generally responsible for managing and collection all the outstanding accounts receivables form clients and customers.
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They prepare official receipts and coordinate with account payable specialists from other companies with pending payables.
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remind the clients for the overdue payment
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Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.
Career tips from people on Collections Specialist jobs
Build an optimized Collections Specialist resume quickly and easily using administrative skills.
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Collections specialists must be able to approach each conversation as a fresh start without carrying over any emotions from previous calls.
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These more advanced collection specialists must know, understand, and follow federal guidelines for these actions.
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Learn excellent knowledge of billing procedure
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Relevant work experience as a Collections Specialist are prefered
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Step 3: View the best colleges and universities for Collections Specialist.
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