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Job Req ID:  3094

Job Title:  Medical Billing & Collections Specialists - All Covered

All Covered, IT Services Division of Konica Minolta Business Solutions (KMBS), is the leading national IT services company serving SMB to enterprise markets. Offering a wide variety of career opportunities, All Covered is an excellent choice for motivated IT professionals interested in a stimulating and progressive work environment.


With over 1,000 employees across the U.S. and Canada, All Covered has a highly skilled team of professionals focusing on superior quality service delivery to our customers. We offer hands-on technical training on the most relevant technologies in the industry and career path advancement in all levels of the company.


Please join us in our exciting growth and pursue a rewarding career with All Covered!

Position Objective

All Covered Healthcare Practice provides basic billing and collection services for its clients in addition to providing excellent Revenue Cycle support to its facilities, patients, and payers across the United States. All Covered Healthcare Practice seek out qualified experienced billing and accounting staff for its open positions and provides opportunity for advancement in addition to educational opportunities for continued career growth.

 

The Medical Billing and Collections Specialist is responsible for the accurate and timely billing of all commercial, Medicare, and Medicaid Accounts. This individual will report to the Revenue Cycle Management Manager.
 

Essential Job Functions

•    Process physician charges for office, hospital and nursing home services.

•    Process electronic and manual payments and adjustments from insurance companies and patients.

•    Prepare and submit clean claims to various insurance companies either electronically or on paper.

•    Review account status, making recommendations to the practice for collection turnover or account adjustment.

•    Evaluate patient’s financial status and establish payment plans.

•    Answer billing inquiries from patients, practice staff, and insurance companies.

•    Identify and resolve patient billing issues.

•    Maintain strict confidentiality in accordance with HIPAA guidelines and regulations.

•    Contact customers to determine reason for payment delinquency

•    Negotiate and advise on collection of overdue / incorrect claims and take appropriate action to recover overdue payments

•    Handle unresolved inquiries / issues

•    Responsible for adhering to collection practices

•    May work with outside legal counsel and / or outside agencies in more complex collection cases

•    Some work is completed without established procedures. Basic tasks are completed without review by others.

•    Hospital or patient accounting department functions, operations and procedures

•    Medical terminology, procedure and diagnosis coding sufficient to assess accuracy of patient accounts

•    Covered insurance benefits, billing requirements and procedures for third party payers and / or Government Programs

•    Data elements for UB04 / 1500 and / or State of California Medical Program

•    Operation of on - line computerized patient accounting systems and / or electronic billing systems

•    Accounting practices and procedures common to accounts receivable

•    General clerical office practices and procedures

•    Medical terminology

•    HCPCS / CPT and ICD9 / ICD10 Coding understanding

•    Hospital and patient accounting department functions

•    Insurance policies and their benefits

•    Data processing input devices

•    Accounts receivable practices and procedures•    General clerical office practices

•    Knowledge of payer contracts

Competencies (Knowledge, Skills and Abilities)
Experience, Educational Reqts and Certifications
  • 5+ years of Billing experience using UB04 and CMS 1500.
  • 5+ years of experience in Collections Revenue Cycle setting.
  • Hands on experience reading and interpreting Commercial EOB’s required.
  • Electronic Billing Experience required.
  • Experience in interpreting Payer Contracts and determining accurate payments on patient accounts.
  • Ability to work with Microsoft Word and Microsoft Excel.

Konica Minolta Offers: 

  • Competitive salary
  • Outstanding benefits package (including medical, dental, vision, life insurance)
  • 401(k) plan with matching company contribution
  • Generous holiday and paid time off schedules
  • Tuition Reimbursement Program
  • Ongoing professional development training

Konica Minolta is an equal opportunity and affirmative action employer. We consider all qualified applicants for employment without regard to race, color, religion, creed, national origin, sex, pregnancy, age, sexual orientation, transgender status, gender identity, disability, alienage or citizenship status, marital status or partnership status, genetic information, veteran status or any other characteristic protected under applicable law.


Nearest Major Market: Atlanta

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