On behalf of Ajinomoto Cambrooke Inc , we are searching for their next Medical Billing and Collections Specialist II .

Job Summary

Are you looking for a new professional challenge? Then keep on reading!

In your position you will support the Finance organization with various duties related to billing and collection of customer accounts and also act as a patient-focused liaison to assist customers with access to our products through the referral process.

Look forward to making a lasting impact and enjoy a comprehensive benefits package that includes wellness and mental health benefits, employee stock option plan, and three weeks of paid time off.

We have sparked your interest? Then arrange an initial interview with us now! ️

Medical #Billing #Collections #Specialist #JoinTheTeam #CareerOpportunity

What You Will Be Doing

• Ensure Ajinomoto Cambrooke has updated documentation for submission to third-party payers.
• Interact with Client Services, Reimbursement Team, Sales, and Territory Managers for issue resolution and updates.
• Understand Single Case Agreements verbiage & complexity, initiating discussions to address payer denials and claims processing.
• File and e-file insurance claims following payer guidelines or instructions from Contracts and / or Single Case Agreements.
• Process cash receipts and create deposits.
• Process Financial Applications for patients facing financial hardship.
• Timely invoicing for patient balances and Institutional orders.
• Contact healthcare professionals, state agencies, and payers for clinical documents, eligibility, benefits, authorization, and other items for payment.
• Conduct collection calls with payers and institutions until payment or resolution is obtained.
• Research and resolve internal and external credit clients’ billing queries.
• Interact with Client Services and Reimbursement team to resolve payment issues and ensure prior orders are processed accordingly.
• Have working knowledge of Pharmacy Benefits (PBM) and Durable Medical Equipment (DME) companies for patient and family benefit and insurance coverage.
• Understand CambrookeCare process to provide assistance or explain benefits and claims processing based on contracts and agreements.
• Understand and post payer denials for assigned Specialist's appeal based on payer guidelines and / or Case Agreements.
• Ability to obtain and process credit card payments from patients or Institutional clients.
• Assist with month-end / year-end close and reporting.
• Maintain medical records in compliance with HIPAA rules and regulations.
• Adhere to all company SOPs for quality and safety.

What You Bring To The Job

• Minimum High School Diploma or equivalent
• Several years of experience in medical billing, eligibility, authorization, and payer interaction.
• Understanding of HCPCs and ICD10 coding
• Knowledge of HIPAA and ability to maintain confidential information security regarding all company’s proprietary information.
• Proficient in Microsoft Office; Excel, Word, Teams, etc
• Ability to multitask with attention to detail, ensuring accuracy
• Able to prioritize work, anticipate department needs, and handle interruptions with ease
• Strong written and oral communication skills for excellent customer service and / or Revenue Cycle updates
• Compassionate with a drive to ensure optimal coverage for patients and their families to receive Cambrooke products
• Ability to work independently with minimal direction and take initiative within work responsibilities
• Strong team player collaborating with various Revenue Cycle Teams and initiating activity or promptly communicating & mentoring others
• Organized and detail-oriented with strong mathematical aptitude and ability to meet deadlines
• Excellent listening skills for effective communication with team members, colleagues, and external customers & clinics to identify and initiate suggestions, guidance, and resolutions
• Results and people-oriented, balancing business and relationship considerations
• Assist in training and QA of new staff for client services functions implementation
• En : C1 Advanced

Nice-to-Haves

• College degree
• DME experience
• Medical Terminology and / or Clinical Nutrition knowledge
• Experience with SalesForce or Nexternal

Team

• Reports to : Revenue Cycle Directors
• Colleagues : 4

Benefits

• Contribution to health insurance
• Wellness and mental health benefits
• Employee stock option plan
• Employee life insurance
• Discounts to selected external services (dry cleaning, technology, etc.)
• Work From Home (WFH) possible
• Expense reimbursement (milage, rentals, etc.)
• Laptop, Tablet, Company Cell Phone
• 3 Weeks Paid Time Off
• Short and Long Term Disability coverage
• Fitness reimbursement
• Profit sharing opportunities

Last updated : 2024-04-26