What are the responsibilities and job description for the Medical Billing and Collections Specialist position at NurseCore?
Medical Billing and Collections Specialist
Responsibilities
The Medical Billing and Collections Specialist is responsible for timely and accurate invoicing to customers and collecting payments from customers.
- Compiles and reviews for accuracy all required billing and payroll reports and provides information to Branch Director and Corporate Payroll Department as required
- Prints, reviews and mails invoices within company timeframe, including required documentation required by payor to process claim
- Prints accounts receivable reports and provides copy to Branch Director on weekly basis
- Reviews accounts receivable reports for short pays, unapplied payments and skipped invoices
- Researches information and contacts clients in timely manner to resolve issues
- Maintains on-going contact with clients to ensure prompt payments on all accounts
- Sets up new staffing clients, ensuring pay/bill reflect contracted agreement
- Requests credit checks on all new accounts and communicates same to Branch Director for decision regarding credit limits
- Sets up new homecare clients and tracks, including:
- Verify Insurance
- Enter all information in ContinuLink on new homecare clients, including plan of care, pay/bill table, units/billing codes
- Track physician’s orders and plan of care for signatures
- Monitor care authorizations weekly
- Assist in maintaining clinical files
- Processes all time slips within ContinuLink system weekly in timely manner to include review and approval for billing and payroll
- Investigates discrepancies and makes adjustments and corrections as needed
- Processes instant/advance checks for field employees in accordance with established company policy and timelines
- Maintains complete payroll, billing and collection documentation and files
- Assists in other areas of the office as needed
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.
Competence
To perform the job successfully, an individual should demonstrate the following competencies:
- Good grammar, voice and diction
- Basic computer and keyboarding skills
- Excellent customer service skills (friendly, courteous and helpful)
- Be able to read, write, and understand English.
- Excellent attention to detail
- Work well in a team environment
- Able to maintain confidential information
- Good time management skills
- High School diploma or equivalent
- Two-three years related experience in medical billing and collections. Health care experience preferred.
- Experience should emphasize problem-solving skills.
- Computer skills (excel, word, accounting software) Medicaid billing, accounts receivable, collections.
- Work experience in a home care or staffing environment.
