GenesisCare USA
Medical Billing & Collections Specialist
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Job Description
- Req#: R0021076
- Prepare and re-submit medical billing claims to insurance carriers either electronically or by hard copy billing
- Secures needed medical documentation required or requested by insurance carriers
- Investigate, analyze, and resolve the reason for denials of payment from insurance carriers
- Process denials of payment from insurance carriers until claims are paid or amounts that are assigned to patient responsibility.
- Keep updated on all insurance carrier billing requirements and changes for insurance types within the area of responsibility
- Monitor claims for prompt payment received from insurance carriers
- Coordinate and work with staff from various departments to accomplish proper actions to prompt payment from the insurance carrier
- Demonstrates knowledge of, and supports, standards, policies and procedures, operating instructions, confidentiality standards, and the code of ethical behavior
- Perform other responsibilities as required
- Ensure proper documentation is attached to corrected claims, if needed.
- Make sure corrected claims are sent out via electronically or mailed in a timely manner.
- Occasionally assist with Special Corrected Claims projects.
- Update insurance information as necessary.
- Other duties as assigned.
- High school or equivalent education
- 1-3 years’ experience in Health Care field
- Advance Knowledge in Microsoft Office products
- Experience with Intergy system
At GenesisCare we want to hear from people who are as passionate as we are about innovation and working together to drive better life outcomes for patients around the world.
Billing & Collection Specialist
Role Summary:
This role is responsible for collecting payments from various insurance companies. Collections activities include denial research, submission of appeals, and follow up on no-response and partial paid claims. This includes identifying consistent payer related payment delays and communicating patterns to management. This position will be responsible for make sure the corrected claims are sent out in a timely manner. Coordinators will also support registration and insurance changes.
Your Key Responsibilities:
Minimum Qualifications:
Preferred Qualifications:
About GenesisCare:
An integrated oncology and multispecialty network in Florida and North Carolina providing care for more than 120,000 patients annually, GenesisCare U.S. offers community-based cancer care and other services at convenient locations. The company’s purpose is to redefine the care experience by improving patient outcomes, access and care delivery. With advanced technology and innovative treatment options, skilled physicians and support staff offer comprehensive and coordinated care in radiation oncology, urology, medical oncology, hematology, diagnostics, ENT and surgical oncology. For more information, visit https://www.genesiscareus.com
GenesisCare is an Equal Opportunity Employer that is committed to diversity and inclusion.
About the company