Medical Biller

SpineSearch is partnering with a growing medical practice to identify an experienced AR Billing & Collection Representative II. This individual will be responsible for analyzing assigned past-due accounts and coordinating with third-party payers and internal stakeholders to resolve payment discrepancies and delayed payments. The AR Billing & Collection Representative II plays a key role in minimizing financial risk and taking appropriate action to recover overdue payments and litigated claims, ensuring timely and efficient resolution.

Essential Dutie

• sAnalyze and update assigned accounts receivable balances to ensure timely resolution and account closure in accordance with payer guidelines
• .Cross-train and assist with all aspects of the revenue cycle, including payment posting, insurance and patient collections, denial appeals, charge modifications, adjustments, and Medicare accounts
• .Perform account reviews for outstanding balances and credits, including collection outreach, credit distributions, and refund requests
• .Monitor collection queues within eClinicalWorks (eCW)
• .Allocate unposted payments and account credits
• .Respond to incoming patient and insurance company calls regarding billing inquiries
• .Utilize Availity and payer portals to verify claim status and establish follow-up actions on open balances
• .Understand the No Surprises Act (NSA) arbitration process and prepare eligible accounts for attorney review and arbitration
• .Initiate negotiations for out-of-network underpayments
• .Provide regular updates on litigation accounts and account resolution status
• .Answer billing questions professionally and accurately, utilizing patient records and billing documentation as needed
• .Handle billing inquiries from patients, providers, and staff, escalating complex issues to management when necessary
• .Respond to insurance correspondence regarding outstanding balances, appeals, and write-off requests
• .Maintain compliance with patient confidentiality regulations and release-of-information requirements
• .Conduct 30-, 60-, and 90-day reviews of assigned accounts and document all collection efforts and follow-up activity
• .Ensure all accounts contain detailed documentation outlining status and resolution strategy
• .Compile claims data, maintain tracking reports, and communicate denial trends promptly
• .Reconcile accounts receivable balances and process account adjustments and overpayment refunds accurately and efficiently
• .Participate in billing and collections meetings focused on account resolution and process improvement
• .Meet productivity standards established by management
• .Complete all required onboarding, departmental, and annual compliance training
• .Maintain accurate timekeeping and payroll records in accordance with company policies
• .Assist with additional departmental responsibilities as assigned

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Standards of Performan

• ceDemonstrate professionalism and behavior consistent with the organization's mission, values, and commitment to excellenc
• e.Deliver exceptional customer service in all interactions with patients, providers, visitors, and colleague
• s.Foster positive working relationships through effective communication, collaboration, and teamwor
• k.Communicate clearly and professionally, both verbally and in writin
• g.Adhere to all organizational compliance policies, procedures, and ethical standard
• s.Maintain the highest level of integrity and professionalis
• m.Participate in workplace and patient safety initiative
• s.Achieve individual and departmental goals as established by managemen

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Qualificati

• onsHigh School Diploma or GED requir
• ed.Minimum of four (4) years of experience in medical accounts receivable, billing, or collectio
• ns.Strong knowledge of healthcare insurance billing and reimbursement process
• es.Understanding of medical terminolo
• gy.Experience with eClinicalWorks (eCW) preferr
• ed.Strong customer service, organizational, and problem-solving skil
• ls.Excellent verbal and written communication skil
• ls.Ability to work independently and collaboratively in a team environme