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Medical Billing Specialist
3 months ago
180 Medical has once again been voted one the Best Places to Work in our home state.
Our employees enjoy:
• Competitive pay plus incentives, gift cards, etc.
• Eligible to promote after 6 months
• Amazing, people-first culture
Position's Purpose:
Performs accounts receivable functions including billing, pursuing reimbursement, customer service, and record keeping.
Are you curious why we have been ranked as one of the best places to work? Find out here
Job Duties:
- Responsible for claim review and submission to Medicare, Medicaid, commercial and private insurance payers. Verifies accuracy and completeness of all required information prior to submission.
- Follows up with insurance companies on unpaid or rejected claims. Resolves issues and resubmits claims.
- Reads and interprets insurance explanation of benefits. Maintains specialized knowledge in insurance processes and guidelines, including authorizations and limitations.
- Investigates insurance claim denials, exceptions, or exclusions. Takes necessary action to resolve claim and payer issues in an effort to recover proper reimbursement.
- Provides customer service relating to all billing inquiries and complaints. Able to explain insurance processes, benefits, and exclusions. Follows HIPAA guidelines in handling customer information.
- Performs other billing duties as requested by the Billing Supervisor, Billing Manager, or Director of Billing.
Are you interested in hearing more about the role? Click here
Qualifications and Requirements:
- Must have a high school diploma, college degree preferred, not required.
- Six months to one year related experience and/or training; or equivalent combination of education and experience.
- Managing one's own time
- Understand written sentences and paragraphs in work related documents.
- Talk to others to covey information effectively.
- Give full attention to what other people are saying, take time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
- Use logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
- Communicate effectively in writing as appropriate for the needs of the audience.
- Monitor/Assess performance of yourself to make improvements or take corrective action.
- Obtain and see the appropriate use of equipment, facilities, and materials needed to do certain work.
- Use mathematics to solve problems.
- Consider the relative costs and benefits of potential actions to choose the most appropriate one.
Beware of scams online or from individuals claiming to represent Convatec
A formal recruitment process is required for all our opportunities prior to any offer of employment. This will include an interview confirmed by an official Convatec email address.
If you receive a suspicious approach over social media, text message, email or phone call about recruitment at Convatec, do not disclose any personal information or pay any fees whatsoever. If you're unsure, please contact us at
Equal opportunities
Convatec provides equal employment opportunities for all current employees and applicants for employment. This policy means that no one will be discriminated against because of race, religion, creed, color, national origin, nationality, citizenship, ancestry, sex, age, marital status, physical or mental disability, affectional or sexual orientation, gender identity, military or veteran status, genetic predisposing characteristics or any other basis prohibited by law.
Notice to Agency and Search Firm Representatives
Convatec is not accepting unsolicited resumes from agencies and/or search firms for this job posting. Resumes submitted to any Convatec employee by a third party agency and/or search firm without a valid written and signed search agreement, will become the sole property of Convatec. No fee will be paid if a candidate is hired for this position as a result of an unsolicited agency or search firm referral. Thank you.
Already a Convatec employee?
If you are an active employee at Convatec, please do not apply here. Go to the Career Worklet on your Workday home page and View "Convatec Internal Career Site - Find Jobs". Thank you