Inpatient Biller/Collection Specialist

Essential duties and responsibilities include: Prepare, review, and submit claims accurately and timely. Monitor claim status through payer portals, clearinghouses, and internal RCM systems. Investigate, resolve claim rejections, denials, underpayments and payment variances. Submit corrected claims, appeals, reconsiderations, as necessary. Post payments/collections to accounts. Analyze remittance advices and explanation of benefits to identify reimbursement discrepancies. Perform account receivable follow-up activities to secure payment on outstanding accounts, including patient statements. Review accounts for appropriate adjustments, write-offs, and contractual allowances. Document all account activity thoroughly within the billing/RCM system. Maintain compliance with Medicare, Medicaid, and commercial payer billing regulations.

Requirements: Minimum 2-year hospital billing and collection experience, required. Strong understanding of Institutional reimbursement methodologies. Demonstrated knowledge of Medicare, Medicaid, and other payor guidelines and criteria for reimbursement. Experienced in UB-04 requirements. Ability to interpret remittance advises, contracts, and payer correspondence. Proficiency with clearinghouses and payor portals. Strong organizational skills with the ability to manage high account AR volumes. Excellent communication and customer service skills when responding to questions and other inquiries from internal and external customers. Strong computer and software skills. Exceptional Care. Exceptional People. Only candidates with appropriate experience will be considered. All others need not apply. All inquiries will be kept confidentialEOE