Lead Billing and Collections Specialist - Pediatrix

Overview:

 

 

The Team Lead Billing & Collections Specialist is responsible for billing and collection activities as related to the patient accounting process to include verifying and ensuring balancing of daily deposits, approving credit arrangements, and reviewing open accounts receivables accounts for placement with agencies specializing in regulations as applied to the healthcare industry.

 

The ideal candidate will have excellent communication and customer service skills, a thorough knowledge of billing and collection activities and have the ability to effectively lead a team. 

 

Hours:

Mon & Wed: 9a-6p

Tues & Thur: 10a-7p

Fridays: 8a-5p

Weekends Off 

Responsibilities:

 

• Serve as the lead position in the overall billing/accounts receivable management
• Ensures assigned billing and collections are done in a timely manner.
• Monitor and manage the receivables including the receipt of payments, posting of such payments, posting of adjustments;
• Work collaboratively with all third party payors.
• Checks financial plans on accounts and corrects prior to billing as appropriate.
• Initiate and respond to telephone inquiries from clients, patients, and others.
• The investigation, analysis, and follow-up for collection
• Prepare and maintain financial and statistical reports relating to accounts receivable as needed.
• Audit patient accounts and assures they are true balances and do not have active insurance.
• Respond to legal proceedings such as filing claims thru bankruptcy
• Review Collection Agency Prebilling report
• Adjust collection balances off and prepare packets for the collection agency
• Respond and Notifies Collection Agency of Patient claim disputes in a timely manner
• Transfers delinquent accounts to Collection Agency.
• Assure that the agency is in compliance with any regulatory changes relating to patient accounting and any third party billing protocols;
• Retrieves and provides monthly reports in excel format including but not limited to; patient receipts, the amount charged by collection agency month to month ratio, totals YTD to Practice Manager
• Communicate with Billing Team about any Patient AR discrepancies
• Maintain a high degree of confidentiality relating to patient information, general financial information.
• Uses company resources wisely.
• Participates in performance improvement activities.
• Flexibility to adhere to additional duties as needed for department growth.
• Demonstrate willingness and ability to acquire knowledge and new skills necessary to optimize individual and organizational performance.
• Assist in training and motivating new staff to ensure maximum utilization of individual and group capabilities.
• Assist in developing educational materials as needs are identified or requested.
• Knowledge and experience with healthcare revenue cycle operations.
• Strives to keep patient information and documents secure and confidential in accordance with HIPPA and hospital guidelines.
• Perform other duties as assigned.

Qualifications:

• Highschool Diploma or GED Required. Associates Degree preferred. 
• 2-4 years of experience in healthcare collections and/or healthcare-related fields.
• Previous experience in Physician Office healthcare Collections preferred, willing to consider Collection Agency exp.
• Previous experience MicroMD preferred
• Knowledge of CPT, ICD-9, and HCPCS codes
• Sharp intelligence of government payers and other commercial/managed care carrier rules and processes in a professional billing environment
• Attention to detail with the ability to identify/resolve problems and document the outcome
• Strong written and verbal communication skills
• Excellent analytical and problem-solving skills
• Ability to multi-task and recognize trends to effectively work A/R
• Solid skill with Microsoft Office applications: Word, Excel
• Initiative to learn new tasks and the ability to apply acquired knowledge to future duties

Flexibility, adaptability, and accountability are necessary for optimum client results

Required education:

 

**Solid excel knowledge with reporting experience preferred (e.g pivots, manipulating data, etc). 

**Upload batches & work invalids & rejections experience is preferred**

**Physician Office healthcare Collections: 2 years** Experience in pediatrics is preferred. 

 

Physical Requirements: Ability to lift thirty (30) pounds

Benefits and Compensation:

Benefits for Full Time employee and qualified dependents:

 

• Health Insurance including prescription drugs
• Dental Insurance
• Vision Insurance
• Life Insurance
• Short- and Long-Term disability options
• Employee stock purchase program – 15% discount*
• 401k with company match**
• Long Term Care (LTC)
• Pre-tax Health Savings Account (HSA)
• Pre-tax Flexible Spending Accounts (FSA)
• Aflac Hospital, Critical Illness and Accident plans
• Identity Protection
• Employee Assistance Program (EAP)

 

*Part Time Regular employee classifications also receive this benefit.

** Available to part-time regular and part-time casual employees age 21 and over.

About Us:

 

Pediatrix® Medical Group, Inc. (Pediatrix) is the nation’s leading provider of physician services. Pediatrix-affiliated clinicians are committed to providing coordinated, compassionate and clinically excellent services to women, babies and children across the continuum of care, both in hospital settings and office-based practices. Specialties include obstetrics, maternal-fetal medicine and neonatology complemented by more than 20 pediatric subspecialties, as well as pediatric primary and urgent care clinics. The group’s high-quality, evidence-based care is bolstered by significant investments in research, education, quality-improvement and safety initiatives. The physician-led company was founded in 1979 as a single neonatology practice and today provides its highly specialized and often critical care services through more than 5,000 affiliated physicians and other clinicians in 37 states. 

 

Please Note: Fraudulent job postings/job scams are becoming increasingly common. All genuine Pediatrix job postings can be found through the Pediatrix Careers site: www.pediatrix.com/careers.

 

#PedNC 

Pediatrix is an Equal Opportunity Employer:

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.