Billing & Collections Specialist Details

Billing & Collections Specialist

Air Methods Corporation - San Bernardino, CA

Employment Type : Full-Time

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Job Summary

The Billing & Collections Specialist is responsible for timely follow-up of claims billed & resolution of accounts. Oversees account receivables & maintain detailed/accurate account documentation. Functions as patient advocate & company liaison. Work with insurance claims payers, while keeping the legal department & executive team informed of payer behavior trends/changes in terms of claims processing & payment.

Essential Functions and Responsibilities include the following:

• Follow up on open claims thoroughly, accurately, promptly, and with all supporting documentation
• Responsible for maintaining and updating billing guidelines, fee schedules, contract rates, etc.
• Review, document, and resolve all incoming correspondence and payor calls; Assist as needed
• Report all payor issues and/or denial trends to Lead/Supervisor
• May appeal and/or rebill underpaid claims and assist with payments, as needed

• Monitoring and analyzing payer behavior and trends, and creating strategies to counter payer delays in payment.
• Developing, analyzing, reading, and interpreting reports.
• Regular interfacing and negotiating with Air Methods’ payers.
• Acting as company liaison and patient advocate during payer negotiation.
• Working with Air Methods’ legal department and executives to assist in payer contract negotiation.
• Provide statistical reports using Excel spreadsheets.
• Other duties as assigned

Additional Job Requirements

• Regular scheduled attendance

Qualifications

To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. In accordance with applicable laws, Air Methods will provide reasonable accommodations that do not create an undue burden so disabled employees may perform the essential functions of the position.

Education & Experience

• High school diploma or general education degree (GED); and one to two years’ related experience and/or training; or equivalent combination of education and experience
• 1-2 years’ medical billing and claims reimbursement experience; possibly working with appeals, coding, cash posting; preferred
• 1-2 years’ experience working with a project management role.
• Must be able to analyze and interpret large amounts of documentation.
• Skilled in strategy development & implementation
• Knowledge of all Government, Commercial and Private payers; preferred
• Knowledge of medical and billing terminology ;preferred
• Knowledge of HIPAA and other industry specific regulations; preferred

Skills

• Strong interpersonal skills and negotiation skill and a high degree of collaboration at all levels
• Excellent organizational skills, dependable, self-motivated, detail oriented, ability to prioritize, multi-task and meet deadlines
• Intermediate customer service and phone skills
• Excellent problem-solving skills

Computer Skills

• Intermediate to Advanced with Microsoft Office, including Word, Excel and Outlook

BehaviorsPreferred

• Innovative: Consistently introduces new ideas and demonstrates original thinking
• Team Player: Works well as a member of a group
• Enthusiastic: Shows intense and eager enjoyment and interest
• Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well

MotivationsPreferred

• Growth Opportunities: Inspired to perform well by the chance to take on more responsibility
• Job Security: Inspired to perform well by the knowledge that your job is safe
• Goal Completion: Inspired to perform well by the completion of tasks
• Ability to Make an Impact: Inspired to perform well by the ability to contribute to the success of a project or the organization

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)