Medical Billing Specialist

ConvaTec

Charlotte, NC 28230

Posted 1 month ago

Job Description

Purpose:


Perform accounts receivable functions including billing, pursuing reimbursement, customer service, and record keeping.


**Job Duties:**


+ Review and submit claims to Medicare, Medicaid, commercial and private insurance payers. Verify accuracy and completion prior to.


+ Follow up with insurance companies on unpaid or rejected claims. Resolve issues and resubmits claims.


+ Interpret insurance explanation of benefits. Maintain specialized knowledge of insurance processes and guidelines, including authorizations and limitations.


+ Investigate insurance claim denials, exceptions, or exclusions. Take necessary action to resolve claim and payer issues to recover proper reimbursement.


+ Provide customer service relating to all billing inquiries and complaints. Explain insurance processes, benefits, and exclusions. Follow HIPAA guidelines in handling customer information.


+ Perform other billing duties as requested by the Billing leadership.


**Qualifications and Requirements:**


+ High School diploma required; Bachelor's Degree preferred.


+ 6 months to 1 year related experience and/or training; or equivalent combination of education and experience.


+ Proficient use of computers/software including: practice management software, word processing and spreadsheet applications.


+ Detail oriented with ability to multi-task.


+ Effective time management with minimal supervision.


+ Strong mathematics and problem solving skills.


+ Seek and share relevant information re: insurance or internal processes.


+ Excellent verbal and written communication skills.


+ Rely on logic and reasoning to identify strengths and weaknesses of alternative solutions, conclusions or approaches to problems.


+ Self-evaluate performance to make improvements or take corrective action.


+ Use equipment, facilities, and materials appropriately as needed.


**Physical Demands:**


+ Regularly sit, stand, walk, and occasionally bend and move about the facility.


+ Infrequent light physical effort required; occasional lifting under 10 lbs.


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


All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.


**Work Environment:**


Work performed in an office environment.


**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.


**Already a Convatec employee?**


**If you are an active employee at Convatec, please do not apply here. Go to the Career Worklet on your Workday home page and View "Convatec Internal Career Site - Find Jobs". Thank you!**



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