Billing & Collections Specialist at Somewhere

Key Responsibilities:The core function is to manage and execute the full billing cycle including accurateclaims submission systematic collections reconciliation and compliance with payerregulations. Invoicing and Claims Submission: Prepare verify and submit accurate andtimely billing claims to various third-party payers including insurance companiesand governmental agencies (e.g. Medicaid/Medicare state/county agencies). Accounts Receivable Management: Proactively manage the accounts receivableaging report systematically pursuing collections on overdue accounts throughcommunication follow-up and account reconciliation. Denial Management: Research analyze and resolve claim denials andrejections efficiently identifying root causes and making necessary correctionsfor re-submission to maximize payment recovery. Payer Compliance & Verification: Ensure strict compliance with all relevant billingcodes (e.g. CPT ICD-10) and payer-specific regulations; verify Key Skills Medical Collection,Accounts Receivable,Athenahealth,ICD-10,Medical Coding,10 Key Calculator,Detailing,ICD-9,Medical Billing,Microsoft Excel,CPT Coding,Medicare Employment Type : Full Time Experience: years Vacancy: 1