Associate Billing Collections

Job Code : REQ-012827

El Paso Adabel Partially Remote/Hybrid

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Job Description

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.

The Associate Billing-Collections position is a performance-based position. Employees in this position will be responsible for reviewing unpaid, underpaid, denied or unresolved insurance balance patient accounts submitted to various health care payers. The primary focus of the Associate is to review claims for accuracy and completeness, timeliness and correctness of payment from payers, and rebilling / appealing as appropriate to resolve any underlying errors in claims submission and account resolution and meet performance-based goals.

Job title:

Associate Billing Collections

Job Description:

Education:

High School Diploma

Experience:

6 months in hospital or physician setting

Mandatory Skills:

Working knowledge of hospital or physician A/R billing.
Ability to navigate through different patient accounting computer systems.
Ability to research documents and find information.
Must be flexible with the ability to adapt to changes quickly and think conceptually.
Solid problem solving skills to resolve complex customer inquiries.
We are seeking an experienced medical biller with comprehensive knowledge of the claims and denial management process.
The ideal candidate must have hands-on experience managing claims from start to finish, including working through claim denials and executing the full appeals process. A strong understanding of each step involved is essential, as we are specifically looking for a true billing professional with proven expertise in both denial resolution and appeals.

Preferred Skills:

Strong computer skills with emphasis on Excel and Word.
Ability to navigate through different computer systems/applications.
Provide solid problem solving skills.
Ability to work independently as well as with a team.

Roles & Responsibilities:

Review, bill, rebill and resubmit insurance claims to the appropriate payer.
Identify and report trends to leadership. Retrieve necessary documents for billing. Identify issues with claim forms.
Follow up on claims including calling payors and using payor portals to resolve accounts.
Coordinate with teams spread across various geographic locations.
Post adjustments and resolving credit balances.
Resolve rejections and denials through corrections and appeals.
Follow work place rules such as attendance, break and lunches, and productivity/quality measures.
Demonstrate professional behavior and respect towards fellow team members, team leaders, management and overall organization.

Location:

El PasoUnited States of America

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