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Medical Billing and Administrative Specialist

Company: Summit Medical Consultants

Position Type: Full-time, Exempt

About Us:

Summit Medical Consultants is a rapidly expanding physician owned medical practice committed to providing exceptional clinical services across all of Colorado. With a focus on delivering compassionate and coordinated care, we collaborate closely with healthcare professionals and our partner facilities to ensure the best outcomes for our patients.

At Summit, we hold our over 100 Providers and team members in the highest regard, recognizing the invaluable contributions each individual makes to the care of our patients and the success of our organization. As a valued member of our team, we ensure that every employee receives comprehensive benefits, effective from the first of the month following their date of hire. Additionally, we offer a hybrid work schedule to provide some flexibility and accommodate individual needs.

Position Overview:

As a Medical Billing and Administrative Specialist, you will play a vital role in our organization by ensuring timely and accurate collection of payments for services rendered to patients. Your responsibilities will include developing relationships with facilities, managing patient information, coordinating benefits with insurance payers, and maintaining compliance with regulations. Additionally, you will handle communication with patients and insurance providers to resolve issues and collect outstanding balances.

Key Responsibilities:

+ Develop and maintain relationships with facility departments

+ Collect and verify patient demographic and insurance information

+ Research and call on outstanding insurance claims

+ Manage transitions of care and insurance coverage changes

+ Coordinate benefits with insurance payers

+ Ensure compliance with regulatory requirements

+ Make staffing recommendations to accommodate regulatory visits

+ Develop contracts with facilities for consolidated billing

+ Conduct calls to collect patient dues and liaise with insurance payors

+ Respond to patient / insurance calls/ inquiries regarding balances and payment plan, and accept ACH, credit card, or check payments for processing

+ Maintain accurate patient records in multiple systems

+ Collaborate with collections agency for outstanding balances

+ Perform other administrative duties as assigned

Requirements:

+ 2-5 years Medical Billing, Insurance verification and Patient Collections experience

+ Team player and ability to coordinate with the Revenue cycle team.

+ Certifications in Accounts Receivable or Medical Billing preferred

+ Proficiency in Google Docs, Excel, and Word preferred

+ Strong communication and organizational skills

+ Ability to work independently and as part of a team

+ High level of confidentiality and attention to detail

+ Employment conditional upon passing background and credit check

Benefits:

+ Competitive salary range: $24.00 - $28.00 per hour.

+ 401(k) plan: Immediate entry for employee contributions and employer match after 6 months of employment.

+ Health insurance: three plans available with the option of 100% employer paid premiums for employee coverage.

+ Dental insurance: 100% employer premium paid for employee coverage.

+ Vision insurance: 100% employer premium paid for employee coverage.

+ Paid Time Off and 6 Paid Holidays.

+ Life insurance and other optional benefits.

Schedule:

+ Full-time position, Monday through Friday.

Summit Medical Consultants is an equal opportunity employer.