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Billing and Collections Specialist

2 months ago


New Windsor, New York, United States Rezolut Full time
Job Overview

Rezolut, a leader in diagnostic medical imaging services, is on the lookout for a Billing and Collections Specialist to enhance our team.

About Rezolut:

Rezolut is a nationally recognized platform dedicated to delivering exceptional patient care through advanced diagnostic imaging technologies. Our mission is to improve health outcomes by integrating innovative solutions into our services.

Position Summary

The Billing and Collections Specialist plays a crucial role in managing patient accounts and ensuring accurate third-party billing. This position involves diligent follow-up on outstanding accounts and the resolution of any discrepancies in accordance with company policies. The role may be performed onsite or remotely based on the candidate's location.

Key Responsibilities of a Billing and Collections Specialist

  • Conduct comprehensive follow-up and collections efforts, including phone communications and accessing payer portals.
  • Identify and analyze issues or trends, providing constructive feedback for resolution.
  • Maintain detailed documentation of all collection activities undertaken.
  • Review account details and utilize necessary systems to determine the next steps.
  • Verify claims processing using appropriate resources and initiate contact with patients for additional information as required.
  • Execute billing tasks, including manual re-bills and electronic submissions to payers.
  • Ensure claims meet compliance standards for electronic submissions.
  • Manage desk inventory, generate reports, and address high-priority and aged accounts.
  • Engage in meetings, training sessions, and evaluations to enhance job knowledge and performance.
  • Respond promptly to internal communications and escalate issues as necessary.
  • Analyze correspondence to identify specific challenges and work towards effective solutions.
  • Meet established productivity and quality benchmarks set by Rezolut.
  • Participate in special projects and additional responsibilities as assigned.

Required Skills and Competencies

  • Exceptional communication and interpersonal skills.
  • Familiarity with HIPAA regulations and confidentiality standards.
  • Basic knowledge of medical terminology and administrative functions.
  • Strong organizational abilities with a knack for managing detailed information.
  • Commitment to customer satisfaction and the ability to make informed decisions swiftly.
  • Ability to work independently and collaboratively within a team environment.
  • Capacity to maintain high accuracy levels in a fast-paced setting.
  • Proficient in Microsoft Office Suite (Word, Excel, Outlook) and online resources.
  • Willingness to learn and adapt to new roles and responsibilities.
  • Experience with clearinghouse operations and practice management software.

General Expectations:

  • Exhibit professionalism in all interactions.
  • Demonstrate a commitment to excellence and teamwork.
  • Be punctual and manage time effectively.
  • Perform tasks with diligence and cooperation.
  • Uphold confidentiality and adhere to relevant laws and principles.

Education and Experience Requirements

  • High School Diploma or GED equivalent.
  • 6 months to 1 year of experience in Healthcare Insurance billing.

Benefits Offered

  • Health, Dental, and Vision Insurance.
  • 401(k) Retirement Plan.
  • Basic Life and AD&D Insurance.
  • Disability Coverage.
  • Paid Time Off.
  • Employee Assistance Program.

Work Schedule

  • Full-time, Monday through Friday, standard business hours.

Additional Information

This job description is intended to provide a general overview of the position and is not exhaustive of all responsibilities and duties that may be required. Responsibilities may evolve over time with or without notice.