Medical Billing Specialist - Customer Service

Billing Specialist - Summary: Perform accounts receivable functions including billing, pursuing reimbursement, customer service, and record keeping.

Job Duties:

• Responsible for claim review and submission to insurance payers. Verify accuracy and completion of all required information prior to submission.
• Follow up with insurance companies about unpaid or rejected claims. Resolve issues and resubmit claims as needed.
• Interpret insurance explanation of benefits; maintain specialized knowledge of insurance processes and guidelines, including authorizations and limitations.
• Investigate insurance claim denials, exceptions, or exclusions. Resolve claim and payer issues to recover proper reimbursement.
• Provide excellent customer service for all billing inquiries and complaints. Explain processes, benefits, and exclusions. Follow HIPAA guidelines for customer information.
• Perform other billing duties as requested by Billing leadership team.

Qualifications and Requirements:

• Previous administrative or clerical support experience required; medical billing experience preferred.
• Excellent customer service skills, experience supporting customers in person/over phone.
• Proficient in MS Office suite; knowledge of computer programs/software helpful.
• Detail-oriented with ability to multi-task effectively.
• Solid time management skills with ability to work well with minimal supervision.
• Strong mathematics and problem solving skills.
• Open to continued learning/sharing information re: insurance.
• Excellent verbal and written communication skills.
• Ability to identify strengths and weaknesses of alternative solutions; consider conclusions or multiple approaches to problems.

Beware of scams online or from individuals claiming to represent Convatec

A formal recruitment process is required for all our opportunities prior to any offer of employment. This will include an interview confirmed by an official Convatec email address.

If you receive a suspicious approach over social media, text message, email or phone call about recruitment at Convatec, do not disclose any personal information or pay any fees whatsoever. If you’re unsure, please contact us at careers@Convatec.com.

Equal opportunities

Convatec provides equal employment opportunities for all current employees and applicants for employment. This policy means that no one will be discriminated against because of race, religion, creed, color, national origin, nationality, citizenship, ancestry, sex, age, marital status, physical or mental disability, affectional or sexual orientation, gender identity, military or veteran status, genetic predisposing characteristics or any other basis prohibited by law.

Notice to Agency and Search Firm Representatives

Convatec is not accepting unsolicited resumes from agencies and/or search firms for this job posting. Resumes submitted to any Convatec employee by a third party agency and/or search firm without a valid written and signed search agreement, will become the sole property of Convatec. No fee will be paid if a candidate is hired for this position as a result of an unsolicited agency or search firm referral. Thank you.

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