Medical Billing & Collections Specialist

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Columbia, MD:
Florida:
Michigan time type:
Full time posted on:
Posted 30+ Days Agojob requisition :
JR104510

At Globus Medical, we move with a sense of urgency to deliver innovations that improve the quality of life of patients with musculoskeletal disorders. Our team is inspired by the needs of these patients, and the surgeons and healthcare providers who treat them. We embrace a culture of exceptional response by partnering with researchers and educators to transform clinical insights into tangible solutions.

Our solutions improve the techniques and outcomes of surgery so patients can resume their lives as quickly as possible.

NuVasive Clinical Services, a subsidiary of Globus Medical Inc., is a leading provider of intraoperative neuromonitoring (IOM) services to surgeons and healthcare facilities, through the acquisitions of Impulse Monitoring, Biotronic Neuro Network, Safe Passage, and others. IOM technology gives those in the operating room real-time insight into the nervous system, which can help surgeons reduce surgical risk by providing critical information and alerts throughout the procedure.
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* Position Summary:

** As a Revenue Cycle Specialist with NCS, you will provide administrative support in the billing and collections function of the medical revenue cycle process.  Prepare new charges, complete insurance verification, maintain patient records, and will be responsible for collecting on outstanding accounts receivable.
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* Essential Job Functions:

*** Obtain needed and or corrected information by contacting the patient, physician’s office, hospital, next of kin, insurance carrier, etc.
* Verify all patient information uploaded is accurate.
* Review medical documents and patient information to ensure insurance criteria is met prior to billing
* Activate and bill patients within the billing system.
* Maintains the database by entering, updating, and retrieving data, as well as formatting and generating reports.
* Assists in resolution of outstanding accounts receivable problems from past due accounts.
* Responds to inquiries from customers or external collection resources.
* Places calls and sends messages to those with unresolved issues.
* Understands and maintains all governmental, regulatory and company billing and compliance regulations and policies for payers
* Follows-up with payers, patients, and other appropriate parties to collect open billings in a timely manner
* Identifies and reports to management any payer issues with regards to billing and collections
* Reviews, analyzes, and reconciles initial Accounts Receivable and Order Entry exceptions and discrepancies to provide accurate invoicing and prompt payment
* Performs other duties as assigned
* Adheres to the letter and spirit of the company Code of Conduct, the Adva Med Code, Med Tech Code, and all other company policies
* Ensures Compliance with applicable governmental laws, rules, and regulations, both in the United States and internationally, by completing introductory and annual training and maintaining knowledge of compliance as it applies to your role
* Represents the company in a professional manner and uphold the highest standards of ethical business practices and socially responsible conduct in all interactions with other employees, customers, suppliers, and other third parties
* Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions.
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* Basic Qualifications:

*** High level of quality awareness, accuracy, and attention to detail
* Strong communication, organizational, and problem-solving skills
* Data-oriented with basic proficiency in MS Office Applications, strong analytical skills, and the ability to create detailed reports
* Sense of urgency and customer-oriented mindset with understanding of Health Insurance Portability and Accountability Act (HIPAA) compliance and Protected Health Information (PHI)
* Ability to work independently, multitask and handle various priorities in a fast-paced environment
* Working knowledge of payer reimbursement guidelines and government, regulatory and company billing and compliance regulations/policies for assigned payers
* Effective verbal and written communication skills
* Typically requires a minimum of 1-2 years of related experience
* High school diploma or equivalent required
** Travel and /or Physical Demands:
*** Ability to sit for long periods of time, 6-8 hours per day in front of computer screen
** Our Values:
** Our Life Moves Us philosophy is built on four values:
Passionate About Innovation, Customer Focused, Teamwork, and Driven.
* ** Passionate about Innovation**:
Improving patient care by…