Billing and Collections Specialist

The Billing and Collections Specialist role requires a customer service oriented individual who is detail-focused in managing accounts receivables with insurance companies and self-pays, while handling multiple daily tasks.

Key duties include following up on accounts within insurance timely filing guidelines, correcting and rebilling claims, writing appeal letters, coordinating with various departments to ensure collection of co-pays and balances, contacting patients for out-of-pocket expenses, documenting and resolving billing inquiries, posting payments, verifying eligibility, understanding insurance benefits, and managing communication via phone and email in a timely manner.

The role also involves assisting with drug rebate programs, patient assistance paperwork, adherence to policy changes, and cross-training for other job functions as needed.

Minimum qualifications include an Associate's degree or equivalent, 3 to 5 years related experience, or Medical Billing Certification. Experience with medical payers including Medicaid, managed care organizations, and commercial insurance is required, along with proficiency in Epic billing systems, CPT and ICD-10 coding, and Microsoft Office Suite.

Strong analytical, organizational, and communication skills are essential. The work environment involves frequent computer use, phone communication, occasional exposure to infectious specimens requiring PPE, and a fast-paced, team-oriented atmosphere.