Billing and Collections Specialist

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Billing and Collections Specialist

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    Accounting & Finance
  • Title:

    Billing and Collections Specialist
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Currently seeking an experienced Billing and Collections Specialist for a premier diagnostics client in Marlborough, MA.   Mon-Fri 9am-5:30pm or 8:30 -5pm (some flexibility). $19-$21/hr DOE.

Billing and Collections Specialist

Essential Function of the Billing and Collections Specialist

  • Manage collection activities for assigned accounts; respond to incoming calls and initiate outbound calls and emails to negotiate account resolution with customers
  • Document all collection efforts in the billing system
  • Confirm patient eligibility and coverage prior to rebilling charges to insurance
  • Process the appropriate credits and/or refunds when appropriate
  • Responsible for researching and handling rejections, including understanding why a claim rejected, how to fix, and determining liability
  • Effectively communicate with customers and insurers to assure accurate billing
  • Initiate corrective actions including referral to the supervisor when appropriate
  • Process adjustments for denials, contractual requirements, and credit balances
  • Generate patient invoices
  • Coordinate updates to billing database as needed

Qualifications of the Billing and Collections Specialist 

  • HS diploma required; Associates or Bachelor’s degree or equivalent preferred
  • Minimum of 3 years healthcare billing and collections experience with 3rd party payers
  • Experience with insurance regulations and processes, medical terminology, CPT and ICD coding
  • Proficiency utilizing Microsoft Applications (Word, Excel, PowerPoint)
  • Excellent verbal and written communication skills; ability to tailor communication to audience; strong negotiation skills
  • Proven organizational and prioritizing skills; able to effectively manage multiple priorities and meet established timelines
  • Exceptional interpersonal skills; ability to collaborate and work well cross-functionally
  • Strong attention to detail
  • Demonstrates good judgement; able to work independently and as part of a team
  • Ability and willingness to learn and master new systems
  • Experience in the laboratory healthcare reimbursement preferred



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