SPECIALTY BILLING & COLLECTIONS CONSULTANT - TEMPORARY

Job Category: Finance & Accounting

Requisition Number: SPECI005660

Posted: October 23, 2024

Employment Type: Full-Time

Locations

Showing 1 location

Note: The essential duties and primary accountabilities below are intended to describe the general content of and requirements of this position and are not intended to be an exhaustive statement of duties. Incumbents may perform all or most of the primary accountabilities listed below. Specific tasks, responsibilities or competencies may be documented in the incumbent’s performance objectives as outlined by the incumbent’s immediate supervisor or manager.

Primary Responsibilities

Build relationships with business clients to resolve payment issues using a variety of collection techniques, and escalates collections efforts as necessary.
Assist in transforming the team from Billers to Biller/Collectors to ensure PACE accounts are paid timely.
Help establish, manage and report on KPIs and deadlines related to collections, denials, duplicate billing, and clean claims at the PACE level, by manager, and by individual Biller/Collector.
Assist in recruiting/training/managing Biller/Collectors and establishing training criteria for Analysts and Managers.
Help establish SOPs, metrics, and bonuses for the team to meet MBO goals.
Obtain 90% collections by day 90 and 98% collections on accounts by day 180.
Assist in the management and refinement of collection efforts around large claims.
Maintain a positive work environment that supports initiative and self-direction; provides a structure to optimize experience, skill, knowledge and capability of team members and rewards staff based on contributions and measured performance.
Assist team to complete client invoices and lead collection efforts. Audit team invoices to ensure accuracy.
Assist with escalated billing issues to resolve client dissatisfaction.
Assist with billing deadline tracker, reviews and updates deadline dates as needed.
Assist as needed in auditing first month invoices for new clients and providers to ensure accuracy.

Marginal or Additional Functions

Act as a resource for cross-functional departments to address and resolve challenges and provide effective solutions.
Act as a champion and lead with a positive attitude to foster a constructive and productive work atmosphere.
Protect company’s intellectual property and the privacy of customers’ data.
Perform other duties as assigned or apparent.

Supervisory and Managerial Responsibility

This position has supervisory responsibilities to include hiring, training, coaching, mentoring, and managing the performance of department team members.

Knowledge, Skills & Abilities

Education, Licensure or Certification:
• Bachelor’s degree in business, accounting, healthcare, or medical billing certificate or equivalent work experience is required.

Work Experience or Related Experience:
• 3-5 years’ experience in which incumbents regularly interface with customers and/or vendors. This experience should include data support that entails general analytics and the presentation of information.
• Experience in a senior level role and/or experience in mentoring, onboarding, and training of employees. Lean Six Sigma experience is preferred.
• Experience in the healthcare or medical fields in which incumbents have gained an understanding of durable medical equipment is preferred.
• Experience with DMETrack of at least one year is strongly preferred.

Specialized Knowledge, Skills & Abilities:
• Excellent communication, presentation and interpersonal skills are required to perform the functions as described, including the ability to present information and training to team members.
• Excellent analytical skills to review data, identify trends, correlate information and provide a summary of findings.
• Ability to work independently and displays good prioritization skills.
• A high attention to detail is required to review and reconcile data.
• Intermediate to Advanced Excel skills to run, analyze and present data as described is required.
• The ability to maintain confidentiality of patient information and follow standard operating procedures with regard to patient data to ensure compliance with HIPAA is required.

Equipment:
• Strong knowledge of business and communications software (MS Office) and web-based tools are required.
• Intermediate Excel skills to run, analyze and present data as described.
• Experience with DMETrack software of at least one year is strongly preferred.

Travel Requirements and Conditions

Limited overnight travel may be required.

Work Environment, Conditions and Demands

Work is generally performed in an office environment or remote setting.

Physical Requirements and Demands

Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described.
Regular eye-hand coordination and manual dexterity is required to operate office equipment.

Additional Position Information

No additional information is applicable.

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StateServ Medical, Inc.

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SPECIALTY BILLING & COLLECTIONS CONSULTANT - TEMPORARY