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Medical Billing And Collection Specialist
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- The medical billing and collection specialist is responsible for ensuring accurate billing, timely submission of electronic and or paper claims, monitoring claim status, researching rejections and denials, documenting related account activities, posting adjustment and collections of Medicare, Medicaid, Medicaid Managed Care, and commercial insurance payers.
- The medical billing and collection specialist must posses critical thinking skills and understanding of Medicare, Medicaid eligibility requirements as well as commercial insurance payer payment methods to correctly record contractual adjustments base on payer contracts or government regulations.
- Perform follow up with Medicare, Medicaid, Medicaid Managed Care, and Commercial insurance companies on unpaid insurance accounts identified through aging reports.
- Communicate with billing and credentialing coordinator to identify and resolve audit review issues.
- None, although St. Vincent Health reserves the right to amend, add, or delete any preferred knowledge, skills, or abilities related to this position in its sole discretion and at any time.
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