Location: Plymouth Meeting, PA, Cherry Hill, NJ and Broomall, PA
Income Range: $13.00 to $18.00 per hour depending on experience and background
Position Type: Experienced or Entry Level – DMEPOS or Medical Billing or Collecting
Requirements: Associate’s or Bachelor’s Degree required or equivalent experience
Position Description:
Synergy has immediate full-time openings for smart, detail-oriented, experienced Medical Biller or Collector Customer Service Team Member experienced in Orthopedic Brace Billing and Collection Activity. This individual will be expected to pre-certify claims, discuss costs with patients, collect funds due from patients, work with the field clinical sales team and bill the claims accurately and quickly. The selected individual will also process denials and appeals to assure collections.
The selected individual’s job responsibility includes a full range of Medical Billing and Collections activity requiring fast and thoughtful action with great accuracy, and a sensitivity that the Patient is the most important element of our Customer Base.
The job requires very fast-paced activities with detailed work to ensure accurate and timely submittal of claims with VOB and pre-certification activity. The position will require excellent patient communication skills and an ability to be firm and aggressive with third party payers to secure pre-certs and collect cash.
Synergy needs someone who comes to work on-time, works hard, wants a career and is very organized, with solid computer knowledge. Candidate selected must work well independently and be a strong team player as well. Synergy is demanding and fast-paced
Key Areas of Responsibility:
- Incoming calls from Patients, Sales Associates, Sales Reps
- Maintain/update patient claim information in Empower
- Maintains patient’s payment records by updating claim information
- Contacts patients for patient responsibility amounts after insurance pays their portions
- Make payment arrangements with patients
- Verify patient’s insurance when necessary
- Send correspondence to patients when necessary
- Obtain signed AOB’s from Patient and or Synergy Sales Representative
- Follow up on open claims with insurance payers when requested by home office
- Handle appeals reimbursement denials when requested by home office
- Post daily reimbursement payments when requested by home office
- Resolves product or service problems by clarifying the patient’s complaint; determining the cause of the problem; selecting and explaining the best solution to solve the problem; expediting correction or adjustment; following up to ensure resolution
- Contributes to team effort by accomplishing related results as needed
Expectations:
- Establish yourself as a key resource to the Field and Office personnel related to billing, collecting and patient interaction
- Manage and Maintain high throughput levels for claims processed while making sure accuracy near 100%
- Keeping up to date with the latest Medical Policy, Compliance and Payer requirements to get paid on claims
- Must be knowledgeable and demonstrate the following skills:
- excellent communication skills
- an outgoing and persuasive manner and the ability to deal with people who hold differing beliefs or values
- confidence and persistence
- patience and self-motivation
- analytical and planning skills
- a flexible approach to work in order to adapt to changes
- strong teamwork and networking skills
- commercial and business awareness
- Must complete and adhere to Synergy Company policy as it relates to Payroll, time cards, expenses, training, and other Company required activities.
- Performs other duties as assigned