Medical Billing and Collections Specialist

Responsible for collecting, reviewing open accounts receivable, and/or managing account payments for Next Level Urgent Care.

Key responsibilities include:

• Prepare and submit scrubbed claims to insurance companies electronically and follow up as needed.
• Collaborate with third-party institutions and team members to resolve billing inconsistencies and errors.
• Resolve denials and rejections from third-party billing providers.
• Identify denial trends and work with leadership on daily and weekly resolution efforts.
• Resolve payment and billing materials sent directly to customers or patients.
• Enter payment history, upcoming payment information, and other financial data into patient accounts.
• Follow standard operating procedures and help identify new policies when needed.
• Answer questions from clinical staff and insurance companies.
• Identify and resolve patient billing complaints.
• Review accounts for possible assignment and make recommendations to the Director of Revenue Cycle Services.
• Use all available resources to review and resolve patient accounts to obtain payment.
• Monitor and resolve financial discrepancies between insurance payments and actual balances.
• Perform other duties as assigned.