Billing/Collections Specialist- Tomball, TX

4 weeks ago

Tomball, United States Sentido Health Full time
Job DescriptionJob DescriptionSentido pays 50% of the cost for full medical insurance

We also offer a 401k match plan up to 6% through Principal (full match up to 4% and a ½ percent match for each percent over that, up to 6%).

You get 80 hours of PTO 0-2 years, 120 hours for 3-4 years, and 160 hours for 5+ years. PTO rolls over If you already have time, you need off in your first 90 days, mention upon tie of hiring and that will not be taken from your PTO balance (within those 90 days).

You're paid on the 15th and the last day of the month; we don't withhold a paycheck, so you'll be paid immediately on this schedule.

Commission pay is paid quarterly (every 90 days/3 months), usually on the 2nd paycheck of the month or that week.


JOB DESCRIPTION

Summary/Objective

Billing/Collections Specialist are responsible for submitting clean claims via electronic or paper submission for all services provided. Essential to this position is the ability to identify correct coding, authorization requirements are met, and ensuring compliance with all payor guidelines.

Essential Functions

  • Prepare and submit accurate claims for all services of DME and supplies.
  • Verify patient demographics, insurance information, and billing codes for accuracy.
  • Confirm all sales orders for various rental and purchase items of DME and supplies by verifying all items and quantities, proof of delivery, ordering doctor, and diagnosis for accuracy.
  • Ensure all coverage limitations and validation rules are met prior to marking sales order complete and closed.
  • Ensure all tracking and proof of delivery is properly uploaded into Brightree for all sales orders confirmed.
  • Follow established billing processes and procedures.
  • Stay up to date on billing regulations and reimbursement guidelines.
  • Manage multiple tasks, prioritizing workload in an efficient manner.
  • Special Projects as assigned.

Preferred Education and Experience

  • Associates degree preferred.
  • Brightree experience is a plus.
  • 2 or more years of medical billing experience preferred.
  • DME Billing experience highly preferred.

Performance Metrics

  • All initial claims are filed within appropriate time limits set by payors.
  • All initial claims filed to correct payor with all appropriate additional payors associated to the invoice.
  • All pending orders followed up on every 48 hours and reported to supervisor if unable to confirm after one week of shipment with continued follow-up until able to confirm.
  • All orders for the month were confirmed no later than the 5th business day of the following month.

Supervisory Responsibility

No

Work Environment

In Office or Remote

Physical Demands

Able to lift and carry up to 10lbs

Position Type/Expected Hours of Work

This is a full-time position. Days and hours of work are Monday through Friday, 8:00 a.m. to 5 p.m. or other agreed upon schedule.

Travel

None

Organizational Requirements

  1. Experience recognizing the needs and concerns of individuals.
  2. Effectively communicate orally and in writing
  3. Ability to follow verbal and written instruction.
  4. Professional telephone & email etiquette
  5. Able to work in a fast-paced, self-directed environment.
  6. Detail oriented with excellent time management skills.
  7. Decision-making, problem resolution and creative thinking skills.
  8. Responds well to multitasking while providing exceptional customer service, support, and responsiveness.
  9. Should be honest, competitive, energetic, enthusiastic, professional, and systematic.

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

  • Medical Billing and Collections Specialist

    3 weeks ago

    tomball, United States TruBlu HR Solutions Full time

    TruBlu HR Solutions is seeking a Medical Billing and Collections Specialist for a Cardiology clinic in the Tomball area. The ideal candidate will have at least 2-3 years of Cardiology billing experience. Must have a Medical Billing certification. Responsibilities include reviewing and verify...

  • Medical Billing and Collections Specialist

    3 weeks ago

    tomball, United States TruBlu HR Solutions Full time

    TruBlu HR Solutions is seeking a Medical Billing and Collections Specialist for a Cardiology clinic in the Tomball area. The ideal candidate will have at least 2-3 years of Cardiology billing experience. Must have a Medical Billing certification. Responsibilities include reviewing and verify...

  • Medical Billing and Collections Specialist

    4 weeks ago

    Tomball, United States TruBlu HR Solutions Full time

    TruBlu HR Solutions is seeking a Medical Billing and Collections Specialist for a Cardiology clinic in the Tomball area. The ideal candidate will have at least 2-3 years of Cardiology billing experience. Must have a Medical Billing certification. Responsibilities include reviewing and verifying patient information for accuracy and completeness, utilizing...

  • Medical Billing and Collections Specialist

    4 weeks ago

    Tomball, TX, United States TruBlu HR Solutions Full time

    TruBlu HR Solutions is seeking a Medical Billing and Collections Specialist for a Cardiology clinic in the Tomball area. The ideal candidate will have at least 2-3 years of Cardiology billing experience. Must have a Medical Billing certification. Responsibilities include reviewing and verifying patient information for accuracy and completeness, utilizing...

  • Billing/Collections Specialist- Tomball, TX

    2 weeks ago

    Tomball, United States Sentido Health Full time

    Job DescriptionJob DescriptionSentido pays 50% of the cost for full medical insuranceWe also offer a 401k match plan up to 6% through Principal (full match up to 4% and a ½ percent match for each percent over that, up to 6%).You get 80 hours of PTO 0-2 years, 120 hours for 3-4 years, and 160 hours for 5+ years. PTO rolls over! If you already have time, you...

  • Medical Billing and Collections Specialist

    4 weeks ago

    Tomball, United States TruBlu HR Solutions Full time

    Job DescriptionJob DescriptionSeeking a Medical Billing and Collections Specialist for a Cardiology clinic in the Tomball area. The ideal candidate will have at least 2-3 years of Cardiology billing experience. Must have a Medical Billing certification. Responsibilities include reviewing and verifying patient information for accuracy and completeness,...

  • Certified Billing and Coding Specialist

    3 weeks ago

    Tomball, United States Northwest Houston Heart Center Full time

    Overview: We are seeking a skilled and detail-oriented Coding Specialist to join our team. As a Coding Specialist, you will play a crucial role in accurately assigning medical codes to ensure proper billing and reimbursement. Your expertise in medical terminology, coding systems, and medical records will contribute to the overall efficiency of our healthcare...

  • Caregiver at VG Tomball

    2 months ago

    Tomball, United States VG Tomball Full time

    Job DescriptionJob DescriptionVillage Green LLC in Tomball, TX is looking for caregivers to join our dynamic team. We are located at 13233 Medical Complex Drive. Our ideal candidate will come in with a positive attitude, open-minded and willing to go above and beyond. Applicants should be self-driven, motivated, able to multi task and must reliable. Seeking...

  • Caregiver at VG Tomball

    2 months ago

    Tomball, United States VG Tomball Full time

    Job DescriptionJob DescriptionVillage Green LLC in Tomball, TX is looking for caregivers to join our dynamic team. We are located at 13233 Medical Complex Drive. Our ideal candidate will come in with a positive attitude, open-minded and willing to go above and beyond. Applicants should be self-driven, motivated, able to multi task and must reliable. Seeking...

  • Caregiver at VG Tomball

    3 weeks ago

    Tomball, United States VG Tomball Full time

    Job DescriptionJob DescriptionVillage Green LLC in Tomball, TX is looking for caregivers to join our dynamic team. We are located at 13233 Medical Complex Drive. Our ideal candidate will come in with a positive attitude, open-minded and willing to go above and beyond. Applicants should be self-driven, motivated, able to multi task and must reliable. Seeking...

  • Medical Billing and Coding Specialist

    2 months ago

    Tomball, United States Pulse Physician Organization Full time

    **JOB SUMMARY**: The medical billing and collection specialist is responsible for ensuring accurate billing, timely submission of electronic and/or paper claims, monitoring claim status, researching rejections and denials, documenting related account activities, posting adjustments and collections of Medicare, Medicaid, Medicaid Managed Care, and...

  • Billing Manager

    6 days ago

    Tomball, United States TOMAGWA Healthcare Ministries Full time

    **Job Title: Billing Manager** **Department: Finance** **Reports To: Finance Director** **FLSA Status: Exempt** **Location: Tomball, Texas** **Qualifications**: - Five years current experience in healthcare billing and coding (CPT, ICD-10, & HCPCS) required. - Intermediate to advanced proficiency in Microsoft Office (Word, Excel, PowerPoint, Outlook)...

  • Collections Specialist- Tomball, TX

    3 weeks ago

    Tomball, United States Sentido Health Full time

    Job DescriptionJob DescriptionJOB DESCRIPTIONSummary/ObjectiveMedical Collectors are responsible for all functions related to the collection of payment on patient accounts. Essential to this position is the ability to manage all insurance follow-up for maximum insurance reimbursement. To include outbound and inbound insurance carrier calls, reprocessing...

  • Pulmonary Critical Care job in Tomball TX

    5 days ago

    Tomball, United States HCA Full time

    Description Specialization: Critical Care Anesthesiology Critical Care Emergency Medicine Critical Care Internal Medicine Critical Care Pulmonary Job Summary: ICC (Intensive Care Consortium) is seeking a PRN Critical Care Intensivist to join HCA Houston Healthcare Tomball in Tomball, Texas. Qualified Candidates: Board certified or eligible - most critical...

  • Patient Reception Specialist

    2 weeks ago

    Tomball, United States Summit Health CityMD Full time

    About Our Company We’re a physician-led, patient-centric network committed to simplifying health care and bringing a more connected kind of care. Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating companies Village...

  • Medical Billing Specialist

    3 weeks ago

    Tomball, United States Sentido Health Full time

    Sentido pays 50% of the cost for full medical insurance We also offer a 401k match plan up to 6% through Principal (full match up to 4% and a ½ percent match for each percent over that, up to 6%). You get 80 hours of PTO 0-2 years, 120 hours for 3-4 years, and 160 hours for 5+ years. PTO rolls over! If you already have time, you need off in your first 90...

  • Medical Billing Specialist

    3 weeks ago

    Tomball, United States Sentido Health Full time

    Sentido pays 50% of the cost for full medical insurance We also offer a 401k match plan up to 6% through Principal (full match up to 4% and a ½ percent match for each percent over that, up to 6%). You get 80 hours of PTO 0-2 years, 120 hours for 3-4 years, and 160 hours for 5+ years. PTO rolls over! If you already have time, you need off in your first 90...

  • Estimator / Concrete - Construction / Tomball, TX

    2 months ago

    Tomball, United States Paragon Professional Solutions Full time

    Job DescriptionJob DescriptionOur client, located in Tomball, TX is currently in need of an experience Estimator. This is a full time perm position.Candidate will have a minimum of 5 years experience using Plan Swift (preferable) or similar estimating software for their turn-key concrete work. With this the can provide all of the finishing estimates for...

  • Estimator / Concrete - Construction / Tomball, TX

    3 weeks ago

    Tomball, United States Paragon Professional Solutions Full time

    Job DescriptionJob DescriptionOur client, located in Tomball, TX is currently in need of an experience Estimator. This is a full time perm position.Candidate will have a minimum of 5 years experience using Plan Swift (preferable) or similar estimating software for their turn-key concrete work. With this the can provide all of the finishing estimates for...

  • Internal Medicine job in Tomball TX

    3 weeks ago

    Tomball, United States Archway Physician Recruitment LLC Full time

    Primary Care opening in the Houston metro area New clinic located in Tomball, TX Full-time, permanent opening Outpatient only Joining an established practice with 7 FPs, 5 NPs, & 2 PAs Group also has a clinic in The Woodlands Must be BE/BC Family Medicine or Internal Medicine Need someone to start ASAP Flexible schedule Potential call, but will be...