Billing Specialist

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🕒 Março 27

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Nira Medical Group

SiteLinkedInTodas as Vagas

51 - 200 funcionários

⚕️ Seguro de Saúde

Healthcare Insurance

O Nira Medical Group é uma plataforma nacional de prática focada em transformar o cuidado neurológico, tornando o tratamento que muda vidas mais acessível aos pacientes. A organização capacita os neurologistas ao fornecer uma gama abrangente de serviços, permitindo que eles ofereçam um atendimento de classe mundial. Ao unir os melhores médicos e empregar um modelo liderado por médicos, a Nira Medical aprimora os resultados de saúde por meio de acesso expandido e da integração de práticas e serviços neurológicos avançados sob um mesmo teto. O grupo visa aliviar as cargas administrativas dos profissionais de saúde e fornecer atendimento abrangente ao paciente, incluindo serviços auxiliares como infusão, pesquisa clínica e imagem.

Descrição

• Responsible for the performance of a broad range of billing activities related to processing of claims for physician and practice-related ancillary services • Maintain expertise in claims submission, accounts receivable management, interpretation of related practice documentation, and other relevant tasks to support a best-in-class patient care platform • Demonstrate proficiency in multiple applicable software systems • Proactively submits and processes assigned third party payor billings (primary, secondary claims) to maximize accurate and timely billing • Achieves daily accomplishments that produce progress towards monthly, quarterly and annual cash collection and accounts receivable goals • Actively engages in assigned quality assurance tasks to safeguard accurate and timely claims creation including compliance with organizational policies and payor guidelines • Identifies unresolved or incomplete work product within assigned scope of responsibilities for follow up and escalation in a timely fashion • Identifies areas of opportunity or potential patterns of noncompliance during normal course of responsibilities and escalates appropriately for review • Anticipates most efficient resources and activities needed to secure payment of open claims and invoices including use of online payor policy research, electronic submission tools, or appropriate escalation or triage

🎯 Requisitos

• High School Diploma or equivalent (GED) required • Prior physician office and infusion drug experience highly preferred • Excellent interpersonal, communication and organizational skills required • Ability to prioritize, problem solve, and multitask is required