• Login / Signup
    • Instagram
    youtube
    Facebook

    Medical Billing Collection Manager

    Suna Solution
    5+ years
    Not Disclosed
    Lexington
    10 Nov. 23, 2024
    Job Description
    Job Type: Full Time Education: B.Sc./M.Sc./B.Pharm/M.Pharm/Life science/MBA Skills: Causality Assessment, Clinical SAS Programming, Communication Skills, CPC Certified, GCP guidelines, ICD-10 CM Codes, CPT-Codes, HCPCS Codes, ICD-10 CM, CPT, HCPCS Coding, ICH guidelines, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Medical Billing, Medical Coding, Medical Terminology, Narrative Writing, Research & Development, Technical Skill, Triage of ICSRs, WHO DD Coding

    Job Title: Collections Manager / Medical Billing Specialist

    Pay Rate: $90,000 - $110,000 per year
    Duration: Direct Hire
    Location: Lexington, MA 02421

    Major Duties and Responsibilities

    Billing and Compliance

    • Ensure billing processes comply with payer requirements for Government, Commercial Health Plans, and Medical Group payers.
    • Verify accurate coding and units per payer and therapy type.
    • Prepare accurate claims submissions, meeting all payer requirements, via electronic or hard copy methods.
    • Assure necessary authorizations and medical documentation accompany claims for prompt processing.

    Claims Management

    • Analyze and resolve claim issues with payers through timely follow-up on claim status and payments.
    • Ensure claims are processed and paid fully according to contractual agreements.
    • Record revenue appropriately based on contract terms.

    Communication and Coordination

    • Communicate effectively with branches, departments, and management to resolve reimbursement issues promptly.
    • Conduct collection calls to payers or patients in a professional manner.
    • Escalate reimbursement challenges to management when necessary.

    Compliance and Documentation

    • Protect patient health information by adhering to HIPAA regulations.
    • Maintain thorough and accurate records of billing and collection activities.

    Productivity and Goal Achievement

    • Prioritize and multitask effectively to meet daily productivity targets and monthly closing goals.
    • Proactively suggest and implement process improvements to enhance efficiency.

    Education and Experience

    • Education:

      • Bachelor’s degree in business or a related field, or equivalent education and experience.

    • Experience:

      • Minimum of 5 years (excluding school or externship) in Home Infusion.
      • Proficient understanding of HCPC and CPT codes.
      • Knowledge of insurance terms, medical terminology, and pricing methodologies for commercial and government billing.
      • Strong computer skills, including proficiency in Microsoft Word and Excel.

    Interpersonal Relations and Teamwork

    • Demonstrate positive interpersonal relations with supervisors, co-workers, and other employees to maximize productivity and positive relations.
    • Exhibit a positive attitude toward the organization, job, and colleagues.
    • Treat others with respect and sensitivity, promoting a culture of compassion and responsiveness.
    • Embrace and suggest changes to improve workflows and processes.
    • Maintain confidentiality and comply with company policies, including those in the employee handbook and quality/safety guidelines.

    Equal Employment Opportunity Statement

    Suna Solutions is an equal opportunity employer, prohibiting discrimination and harassment based on race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity, or any other legally protected characteristic.

    This policy applies to all aspects of employment, including recruiting, hiring, promotion, termination, compensation, and training.

    Applicants with criminal histories will be considered consistent with local, state, and federal laws.

    Accommodations

    Suna Solutions is committed to providing accommodations for persons with disabilities or religious observances. If hired, accommodations for essential functions will be determined through a reasonable accommodation process.

    For recruiting-related accommodations, call 1 (888) 223-4788 or email Suna Solutions.

    Pay Transparency Policy Statement

    Compensation varies based on factors such as the specific client, location, role, skills, and experience. For roles in California, Colorado, New York City, or Washington, Suna Solutions provides reasonable pay scales in compliance with local law.

    This structured layout improves readability and organizes the job details for clarity.

    Latest Jobs

    Professional Coder Orthopedic Surgery

    M&D Capital Premier Billing
    Richmond Hill

    Ip Hims Coder - Remote

    Cornerstone Staffing
    Dallas

    Medical Billing A/R Specialist - Pending Claims - Remote/Hybrid

    Qmacs
    Richardson

    Medical Billing Coder

    A To Z Pediatrics, Llc
    Oklahoma City

    Podiatrist

    360care
    Houghton Lake

    Certified Medical Coder (Remote Ony Socal Candidates Accepted)

    Prosum
    Los Angeles

    Professional Coder/Biller

    Premier Health
    Charleston

    Medical Itemized Bill Reviewer

    Clarishealth
    Nashville

    Billing Specialist

    Vip American Llc
    Stuart

    Therapist - Psychologist, Lcsw, Lmft, Lmhc Online/Remote Work!

    Wellness Partners Hawaii
    United States

    Pharma Jobs in India

    Andra Pradesh :

    Anantapur | Bhimavaram | Chittoor | Guntur | Gurgaon | Mangalagiri | Tirupathi | Visakhapatnam |

    Assam :

    Dibrugarh | Diburghar | Guwahati |

    Bihar :

    Hajipur | Patna |

    Chhattisgarh :

    Bilaspur | Raipur |

    Delhi :

    Delhi | India | New Delhi | PAN-India |

    Goa :

    Goa | Panaji |

    Gujarat :

    Ahmedabad | Baroda | Gandhinagar | Mehsana | Tarasadi | Vadodara | Vapi |

    Haryana :

    Ambala | Hisar | Kurukshetra | Panchkula | Rohtak |

    Himachal Pradesh :

    Solan |

    Jharkhand :

    Ranchi |

    Karnataka :

    B.G Nagara | Bangalore | Belgaum | Bengaluru | Mangaluru | Mysore | Udupi |

    Kerala :

    Kannur | Kochi | Malappuram | Thiruvananthapuram |

    Madhya Pradesh :

    Dewas | Gwalior | Indore | Khandwa | Khargone | Ujjain |

    Maharashtra :

    Ambernath | Amravati | Aurangabad | Jalgaon | Kolhapur | Mumbai | Nagpur | Nashik | Navi Mumbai | Pune | Pune city | Shirpur | Tarapur | Thane |

    PAN-India :

    Panjab :

    Punjab :

    Bathinda | Bela | Chandigarh | Moga | Mohali | Patiala | Phagwara | Rajpura |

    Rajasthan :

    Banasthali | Jaipur | Pilani | Udaipur |

    Tamil Nadu :

    Annamalainagar | Chennai | Coimbatore | Erode | Madurai | Nagercoil | Ooty | Srivilliputtur | Tiruchirappalli | Trichy |

    Uttar Pradesh :

    Gajraula | Gautam buddha Nagar | Ghaziabad | Greater Noida | Jhansi | Lucknow | Mathura | Noida | Park City | Prayagraj | Varanasi |

    Uttarakhand :

    Dehradun | Nainital | Rishikesh |

    West Bengal :

    Kolkata | Mukundapur |

    Pharma Jobs in United States

    Alabama :

    Birmingham |

    Alaska :

    Anchorage | Barrow | Bethel | Juneau | Wrangell |

    Arizona :

    Chandler | Kingman | Lake Havasu City | Peridot | Phoenix | Tempe | Tucson | Yuma |

    California :

    Brisbane | Crescent City | Davis | El Monte | El Segundo | Emeryville | Foster City | Fremont | Irvine | La Jolla | Los Angeles | Martinez | Mountain View | Nevada | Oakland | Pacheco | Palo Alto | Pasadena | Pleasanton | Redwood City | Riverside | Sacramento | San Bernardino | San Diego | San Francisco | San Gabriel | San Jose | Santa Clara | Santa Cruz | Santa Monica | Simi Valley | Soledad | Stanford | Vallejo | West Valley City | Whittier | Willits |

    Colorado :

    Denver |

    Connecticut :

    Groton | Storrs |

    D.C :

    Washington |

    Florida :

    Clearwater | Coral Gables | Gainesville | Jacksonville | Naples | Orlando | Rueil-Malmaison | Stuart | Tallahassee | Tampa | West Palm Beach |

    Georgia :

    Atlanta |

    Hawaii :

    Honolulu |

    Illinois :

    Abbott Park | Champaign | Chicago | Deerfield | Lombard | Naperville | Round Lake |

    Indiana :

    Bloomington | West Lafayette |

    Kansas :

    Lawrence |

    Kenlucky :

    Shelbyville |

    LA :

    Monroe | New Orleans |

    Maryland :

    Baltimore | Elkridge | Gaithersburg | Rockville |

    Massachusetts :

    Boston | Cambridge | Devens | Lexington | Medford and Somerville | Rockland |

    Michigan :

    Detroit | Houghton Lake |

    Minnesota :

    Minneapolis and St. Paul, Minnesota. |

    Missouri :

    Fulton | St. Louis |

    New Jersey :

    Basking Ridge | Bloomfield | Branchburg Township | Bridgewater | Brunswick | Burlington | Charlotte | Clark | Cranbury | Dunellen | East Brunswick | Edison | Fairfield | Far Hills | Flemington | Hackensack | Indianapolis | Jersey City | Linden | Livingston | Lyndhurst | Mahwah | Monmouth Junction | Mount Arlington | New Brunswick | Newark | Nutley | Paramus | Parsippany | Passaic | Paterson | Peapack-Gladstone | Pine Brook | Piscataway Township | Plainsboro | Princeton Junction | Rahway | Raritan | Somerset | Somerville | South Plainfield | Sparta | Summit | Titusville | Trenton | Warren Grove | West Orange | Westfield | Wharton | Whippany |

    New York :

    Biddle | Buffalo | Hicksville | Ithaca | Morningside Heights | New York | Rensselaer | Syracuse |

    North Carolina :

    Concord |

    North Caroline :

    Chapel Hills | Durham | Morrisville | Philippines | Raleigh | Scottsdale |

    Ohio :

    Cincinnati | Cleveland | Columbus, |

    Oklahoma :

    Oklahoma City |

    Oregon :

    Bend | Corvallis | Eugene | Roseburg | Springfield |

    Pennsylvania :

    Ambler | Lancaster | Middletown | Philadelphia | Pittsburgh | Plymouth Meeting | West Chester | Wyomissing |

    Portugal :

    Lisbon | Portugal |

    Puerto Rico :

    San Juan |

    Republic of Mexico :

    Mexico |

    South Carolina :

    Charleston |

    Tennessee :

    Nashville |

    Texas :

    Austin | Dallas | Houston | Richardson | Waco |

    United states :

    United States |

    United States :

    Hawai |

    Virginia :

    Blacksburg | Charlottesville | Falls Church |

    Washington :

    Goldendale | Pullman | Seattle |

    WI :

    Madison | Wausau |

    Wisconsin :

    Wyoming :

    Cokeville |

    Pharma Jobs in Germany

    Baden-Wurttemberg :

    Freiburg | Grenzach | Heidelberg | Karlsruhe | Konstanz | Stuttgart | Tubingen | Ulm |

    Bavaria :

    Bayreuth | Erlangen | Munich | Regensburg | Wurzburg |

    Berlin :

    Mitte |

    Brandenburg :

    Berlin |

    Germany :

    Germany | GErmany |

    Hesse :

    Marburg |

    Hessen :

    Frankfurt |

    Lower Saxony :

    Gottingen | Hannover | Leipzig |

    Mecklenburg Vorpommern :

    Rostock |

    Munich :

    Bavaria |

    North Rhine Westphalia :

    Aachen | Bielefeld | Bochum | Bonn | Cologne | Dortmund | Duisburg | Dusseldorf | Munster |

    Rhineland Palatinate :

    Mainz |

    Rotherbaum :

    Hamburg |

    Saarland :

    Saarbrucken |

    Saxony Anhalt :

    Halle |

    Schleswig Holstein :

    Kiel |

    Pharma Jobs in Europe

    BULGARIA :

    Bulgaria |

    Denmark :

    Copenhagen |

    Finland :

    Finland |

    Hungary :

    Budapest |

    Istanbul :

    Turkey |

    Norway :

    Norway | NOrway |

    Romania :

    Romania |

    Serbia :

    Belgrade | Serbia |

    Switzerland :

    Basel | Zurich |

    Pharma Jobs in China

    Hubei :

    Wuhan |

    Republic of China :

    Beijing |

    Shanghai Sai :

    Shanghai Shi |

    Tokiyo :

    Osaka | Tokyo |

    Pharma Jobs in Argentina & Australia & Canada & Colombia & Croatia & Egypt & England & Estonia & France & Indonesia & Ireland & Israel & Japan & Korea & Netherland & Portugal & Remote & Saudi Arabia & Spain & Tennessee & Thailand

    Buenos Aires :

    Buenos Aires |

    New South Wales :

    Sydney |

    Queensland :

    Queensland |

    Republic of Western Australia :

    Nedlands |

    Canada :

    Canada |

    Ontario :

    Richmond Hill | North York |

    Quebec :

    Montreal |

    Republic of Colombia :

    Bogota |

    Zagreb :

    Zagreb |

    Republic of Egypt :

    Cairo |

    United Kingdom :

    London | Salt Lake City | Harlow |

    Estonia :

    Estonia |

    France :

    Paris |

    Jakarta :

    Jakarta |

    County Dublin :

    Swords |

    Republic of Ireland :

    Dublin | Limerick | Waterford |

    Israel :

    Kfar Saba | Be'Er Sheva | Netanya | Tel Aviv |

    Tokyo :

    Otemachi |

    Republic of Korea :

    Seoul |

    Capital of Netherland :

    Amsterdam |

    Noord Holland :

    Haarlem |

    Remote :

    Remote - Europe | Remote, USA | Remote | Switzerland |

    Makkah :

    Khulais | Najran | Riyadh | Rabigh | Jeddah |

    Catalonia :

    Barcelona |

    Madrid :

    Madrid |

    Williamson :

    Brentwood |

    Republic of Thailand :

    Bangkok |