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Medical Billing & Collections Specialist

NuVasive

NuVasive

United States
Posted on Sunday, May 5, 2024
Job Summary And Primary Responsibilities

Provides administrative support in the billing and collections function of the medical revenue cycle process. Prepares new charges, completes insurance verification, maintains patient records, and is responsible for collecting on outstanding accounts receivable.

  • Obtain needed and or corrected information by contacting the patient, physician’s office, hospital, next of kin, insurance carrier, etc.
  • Verify all patient information uploaded is accurate.
  • Activate and bill patients within the billing system.
  • Maintains the database by entering, updating, and retrieving data, as well as formatting and generating reports.
  • Assists in resolution of outstanding accounts receivable problems from past due accounts.
  • Responds to inquiries from customers or external collection resources.
  • Places calls and sends messages to those with unresolved issues.
  • Understands and maintains all governmental, regulatory and company billing and compliance regulations and policies for payers
  • Follows-up with payers, patients, and other appropriate parties to collect open billings in a timely manner
  • Identifies and reports to management any payer issues with regards to billing and collections
  • Reviews, analyzes, and reconciles initial Accounts Receivable and Order Entry exceptions and discrepancies to provide accurate invoicing and prompt payment

Performs other duties as assigned

Required Skills / Capabilities

  • High level of quality awareness, accuracy, and attention to detail
  • Strong communication, organizational, and problem-solving skills
  • Data-oriented with basic proficiency in MS Office Applications, strong analytical skills, and the ability to create detailed reports
  • Sense of urgency and customer-oriented mindset with understanding of Health Insurance Portability and Accountability Act (HIPAA) compliance and Protected Health Information (PHI)
  • Ability to work independently, multitask and handle various priorities in a fast-paced environment

Education And Experience

  • Working knowledge of payer reimbursement guidelines and government, regulatory and company billing and compliance regulations/policies for assigned payers
  • Effective verbal and written communication skills

Travel And/or Physical Requirements

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For roles that require access to hospital facilities, must be eligible for and maintain credentials at all required hospitals, including meeting any applicable physical requirements or vaccination requirements (including the COVID-19 vaccine, as applicable).

NuVasive 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, age, or protected veteran status and will not be discriminated against on the basis of disability. The “EEO is the Law” poster options are available here . NuVasive's EEO policy is available here .

About NuVasive

NuVasive, Inc. (NASDAQ: NUVA) is the leader in spine technology innovation, with a mission to transform surgery, advance care, and change lives. The Company's less-invasive, procedurally integrated surgical solutions are designed to deliver reproducible and clinically proven outcomes. The Company's comprehensive procedural portfolio includes surgical access instruments, spinal implants, fixation systems, biologics, software for surgical planning, navigation and imaging solutions, magnetically adjustable implant systems for spine and orthopedics, and intraoperative neuromonitoring technology and service offerings. With more than $1 billion in net sales, NuVasive has approximately 2,700 employees and operates in more than 50 countries serving surgeons, hospitals, and patients. For more information, please visit www.nuvasive.com .