Medical Billing/Claims/Collections

• Handle accounts receivable clean-up activities, prioritizing outstanding commercial and Medicare/Medicaid balances
• Oversee collection efforts by following up on aged accounts and resolving discrepancies to ensure timely payments
• Review and process claims with a focus on accuracy, compliance, and timely reimbursement
• Utilize Epic system work queues to verify that claims are complete, clean, and ready for submission
• Collaborate with internal teams to support efficient billing operations and resolve AR-related challenges
• Identify recurring issues in claims or AR processes and recommend improvements
• Maintain accurate and up-to-date documentation across systems to ensure seamless operations
• Provide expertise in navigating both legacy and updated systems for efficient claims and collections handling
• Communicate effectively with payers to address disputes and secure resolutions for outstanding balances

• Proven experience in medical billing, claims processing, and collections within a healthcare setting
• Demonstrated expertise in managing accounts receivable for commercial insurance and Medicare/Medicaid
• Proficiency with Epic EMR systems and familiarity with legacy systems like Netsmart is a plus
• Strong attention to detail and ability to ensure compliance in claims processing
• Excellent organizational and time-management skills to prioritize tasks effectively
• Strong communication skills for collaborating with internal teams and engaging with payers
• Ability to identify and resolve discrepancies in accounts receivable and claims
• Experience in handling aged accounts and implementing effective collection strategies

Familiarity with legacy systems like Netsmart

• medical, vision, dental, and life and disability insurance
• eligible to enroll in our company 401(k) plan