BILLING AND COLLECTIONS SPECIALIST Clinicient
The Billing and Collections Specialist is a key player in the Revenue Cycle Management Group. Tasked primarily with the effective billing and collection of Client accounts, initiating proactive measures that result in account or claim resolution, and providing issue feedback and support to Practice Analysts, they are the ultimate team player.
The Billing and Collections Specialist partners with the Practice Analyst in aligning Clinicient and Client resources, to ensure both timely and effective payment maximization. The Billing and Collections Specialist is focused on daily billing and collections activities and must understand the activities and other drivers of Client success KPIs.
Performance against assigned duties, defined account KPIs, and customer satisfaction are the primary measures of success for the Billing and Collections Specialist. Primary metrics include, but are not limited to: accounts receivable aging minimization, clearinghouse rejection and enrollment turnaround, claim denial resolution and task response timeframes.
ESSENTIAL DUTIES AND RESPONSIBILITIES
THE BILLING AND COLLECTIONS SPECIALIST?S PRIMARY RESPONSIBILITIES INCLUDE:
Performing all daily billing responsibilities in a timely, accurate and complete manner.
Ensuring that all clearinghouse enrollments are correctly processed that any rejections are resolved in a timely fashion.
Following up on all denied claims, identifying root cause, researching stated reason codes and taking corrective action to resolve the denial.
Processing all claims for timely payment and ensuring Client accounts receivable metrics are met.
Communicating and working with the Practice Analyst to identify and correct trends in claim denials.
Responding and taking appropriate action in response to issues tasked through clinic database.
Resolving deposit queries and ensuring that all clinic deposits are complete and balanced.
SECONDARY DUTIES AND RESPONSIBILITIES
Ad hoc projects as requested.
EDUCATION AND EXPERIENCE
1-2 years previous experience in an administrative or billing role in a healthcare environment.
Strong knowledge of medical billing, including commercial payers, Medicare, Medicaid, workers? compensation and patient responsibility is desirable.
SKILLS AND ABILITIES
Detail-oriented with a focus on delivering high-quality results.
Comfortable with long-term projects, methodical, and able to strategically manage time.
Conscientious and organized with ability to identify and track progress against priorities.
Action-oriented with a fast pace of work, and committed to delivering tasks and projects on time.
Demonstrated ability to work in a highly interdependent team environment, and able to communicate clearly and effectively to coworkers and supervisors.
CERTIFICATES, LICENSES, REGISTRATIONS
SCOPE AND ACCOUNTABILITY
The Billing and Collections Specialist may, at times, interface directly with Clients, and their decisions and actions will have a high impact on overall service satisfaction. The individual in this position will be expected to occasionally make independent decisions which may not be guided by clearly stated standards and processes. Work is generally performed under limited supervision.
||506 SW Sixth Avenue |
Portland, OR 97204