Sr. Specialist, Billing and Collection

The primary purpose of this position is to create claims invoices to 3rd party insurance carriers for commercial products and to monitor aging to ensure proper and timely payment.

• Responsible for correcting claim data in Acuity Logic system prior to billing for specified plans
• Responsible for submitting both paper and electronic claims in Acuity Logic for specified plans to 3rd party carriers timely
• Responsible for submitting manual vouchers and invoices to plans that don't accept claim forms in a timely manner
• Responsible for interpreting and following up on claim denials from 3rd Party carriers for specified plans
• Responsible for monitoring the aging of specified plans to ensure prompt and accurate payment for specified plans
• Develops expertise in specific plans assigned to the position and acts as a department and company resource for questions relating to billing of these plans
• Leads special projects, team calls (as needed), and provides daily support to management.
• Researches and provides solutions for billing and collections issues impacting the collections results
• Assists with onboarding, training, and supporting peer to peer staff and new hires.
• Assists in the timely response and support of the help desk team and help desk tickets to provide answers to field operations in a timely manner
• Runs weekly or monthly reports as directed by management
• Monitor claims scrubs and makes recommendations for removal or addition
• Communicates all system, site, and billing company issues to management on a timely basis to allow management oversight and proper resource planning
• Be a resource for retail units for questions relating to billing
• Makes recommendations for efficiencies, processes, etc. which will deliver quality, cost savings, and / or profitability improvements within the department and / or across the organization
• High school diploma or GED or equivalent
• 3 years AR experience with 3rd party billing
• Knowledge of insurance billing processes
• Intermediate level PC skills in MS Windows, Word and Excel
• Effective verbal and written communication skills to effectively speak with coworkers, and prepare concise and accurate reports
• Demonstrated ability to work successfully in a team environment, functioning for the good of the team over the individual