Billing and Collections Specialist
As a Billing and Collections Specialist, you will play a crucial role in ensuring accurate financial processes and maintaining efficient revenue cycles.
Your responsibilities include :
Consumer Billing Resolution :
Identify and resolve consumer billing problems promptly.Issue adjusted, corrected, or rebilled claims to third-party payers.
Accurate Claims Management :
Prepare and submit accurate claims electronically to third-party payers.Assist with billing processes, navigate through relevant systems (including HHA), and proactively recognize denied claims.
Collections Expertise :
Reconcile sales, billings, and collections regularly.Diagnose and resolve electronic visit verification (EVV) errors / rejections.
Financial Data Analysis :
Analyze financial data and create financial models for decision support.Report on financial performance and prepare for regular leadership reviews.
Perform variance analysis, identify trends, and make recommendations for improvements.
Process Improvements and Automation :
Work closely with the accounting team to ensure accurate financial reporting.Identify and drive process improvements, including the creation of standard and ad-hoc reports, tools, and Excel dashboards.
Increase productivity by developing automated reporting / forecasting tools.
Technical Proficiency :
Proficiency with Microsoft Excel is essential.Familiarity with data query / data management tools is helpful.
Confidentiality and Compliance :
- Access to personal health information ( PHI ) necessary to fulfill the above duties and responsibilities.
- Maintain strict confidentiality and adhere to all HIPAA guidelines and regulations
This role will be 5 days a week onsite in our client's Bala Cynwyd location