Medical Billing & Collections Specialist

Globus Medical, Inc. • Michigan, Michigan • 16h ago

NuVasive Clinical Services, a subsidiary of Globus Medical Inc., is a leading provider of intraoperative neuromonitoring (IOM) services to surgeons and healthcare facilities. IOM technology gives those in the operating room real-time insight into the nervous system, which can help surgeons reduce surgical risk by providing critical information and alerts throughout the procedure.

Position Summary:

As a Revenue Cycle Specialist with NCS, you will provide administrative support in the billing and collections function of the medical revenue cycle process. Prepare new charges, complete insurance verification, maintain patient records, and will be responsible for collecting on outstanding accounts receivable.

Essential Job Functions:

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.

Review medical documents and patient information to ensure insurance criteria is met prior to billing

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

Adheres to the letter and spirit of the company Code of Conduct, the AdvaMed Code, MedTech Code, and all other company policies

Ensures Compliance with applicable governmental laws, rules, and regulations, both in the United States and internationally, by completing introductory and annual training and maintaining knowledge of compliance as it applies to your role

Represents the company in a professional manner and uphold the highest standards of ethical business practices and socially responsible conduct in all interactions with other employees, customers, suppliers, and other third parties

Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions.

Basic Qualifications:

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

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

Typically requires a minimum of 1-2 years of related experience

High school diploma or equivalent required

Travel and /or Physical Demands:

Ability to sit for long periods of time, 6-8 hours per day in front of computer screen

Our Values :

Our Life Moves Us philosophy is built on four values: Passionate About Innovation, Customer Focused, Teamwork, and Driven.

Passionate about Innovation : Improving patient care by delivering advanced technology to our customers is at the core of what we do. We are passionate ab our role in improving the lives of patients by continuously developing better solutions.

Customer Focused : We listen to our customers' needs and respond with a sense of urgency.

Teamwork : Working together, anything is possible. We value every person on our team and treat each other with respect. We are accountable to one another and support each other. Together, we make each other stronger.

Driven : We pursue our mission with energy and passion. We are nimble, results-oriented and decisive. We overcome obstacles that arise in our quest to deliver solutions that will improve the lives of our customers and patients.

Equal Employment Opportunity :

Globus Medical is an equal opportunity employer. All applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, age, disability, marital status, pregnancy, national origin or citizenship. We are committed to a diverse workforce. We value all employees' talents and support an environment that is inclusive and respectful.

Other Duties :

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

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