Sigma Delta Billing is seeking a detail-oriented and motivated hospital collector with experience working with the No Surprises Act (NSA) to join the billing department. This role is responsible for managing insurance collections, resolving claim denials, following up on outstanding accounts receivable, and assisting with reimbursement recovery.
In addition to traditional hospital collections responsibilities, this position will manage claims subject to the No Surprises Act (NSA), including open negotiations, Independent Dispute Resolution (IDR) submissions, and follow-up on disputed reimbursement amounts.
The ideal candidate will have hospital or clinic billing and collections experience, strong analytical skills, and the ability to independently manage a high volume of claims while meeting deadlines.
- Previous hospital or clinic business office experience in medical billing, insurance collections, or denial management
- Strong knowledge of governmental and commercial insurance claim filing requirements and payment methodologies
- Ability to analyze payer remittances and determine appropriate reimbursement
- Familiarity with insurance claims, denials, and appeals processes
- Experience working with Electronic Medical Records (EMR) and medical billing systems
- Proficiency in Microsoft Excel and Word
- Strong written and verbal communication skills
- Ability to work independently and manage a high volume of claims and tasks
- Excellent organizational skills, attention to detail, and problem-solving abilities
- Ability to prioritize assignments and meet required deadlines
- Preferred: experience with the No Surprises Act (NSA) and Independent Dispute Resolution (IDR) process
- Preferred: experience handling out-of-network claims and insurance reimbursement disputes
- Preferred: familiarity with CPT codes, ICD-10 codes, and hospital reimbursement methodologies
- Preferred: experience with insurance payer negotiations and reimbursement recovery
- Education: Associate degree preferred
- Experience: 4 years of medical billing experience required
- Shift availability: Day shift required
- 401(k)
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Location
N/A
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
3 weeks ago