Senior Billing and Collections Specialist

The primary purpose of this position is to create claims invoices to third-party insurance carriers for commercial products and monitor aging to ensure proper and timely payment.

Key responsibilities include:

• Correct claim data in the Acuity Logic system prior to billing for specified plans
• Submit paper and electronic claims in Acuity Logic to third-party carriers in a timely manner
• Submit manual vouchers and invoices to plans that do not accept claim forms
• Interpret and follow up on claim denials from third-party carriers
• Monitor the aging of specified plans to ensure prompt and accurate payment
• Develop expertise in assigned plans and serve as a department and company resource
• Lead special projects and team calls as needed, while providing daily support to management
• Research and provide solutions for billing and collections issues affecting results
• Assist with onboarding, training, and support for peer staff and new hires
• Support the help desk team by responding to tickets and questions from field operations
• Run weekly or monthly reports as directed by management
• Monitor claim scrubs and recommend additions or removals
• Communicate system, site, and billing company issues to management in a timely manner
• Serve as a resource for retail units with billing-related questions
• Recommend process improvements that drive quality, cost savings, and profitability