Medical Billing & Collections Specialist

NuVasive Clinical Services, a subsidiary of Globus Medical Inc., is a leading provider of intraoperative neuromonitoring (IOM) services to surgeons and healthcare facilities. IOM technology gives those in the operating room real-time insight into the nervous system, which can help surgeons reduce surgical risk by providing critical information and alerts throughout the procedure.

Position Summary:

As a Revenue Cycle Specialist with NuVasive Clinical Services, you will provide administrative support in the billing and collections function of the medical revenue cycle process. Prepare new charges, complete insurance verification, maintain patient records, and will be responsible for collecting outstanding accounts receivable.

Essential Functions:

• Obtain needed and or corrected information by contacting the patient, physician’s office, hospital, next of kin, insurance carrier, etc.
• Verify all patient information uploaded is accurate.
• Activate and bill patients within the billing system.
• Maintains the database by entering, updating, and retrieving data, as well as formatting and generating reports.
• Assists in resolution of outstanding accounts receivable problems from past due accounts.
• Responds to inquiries from customers or external collection resources.
• Places calls and sends messages to those with unresolved issues.
• Understands and maintains all governmental, regulatory and company billing and compliance regulations and policies for payers
• Follows-up with payers, patients, and other appropriate parties to collect open billings in a timely manner
• Identifies and reports to management any payer issues with regards to billing and collections
• Reviews, analyzes, and reconciles initial Accounts Receivable and Order Entry exceptions and discrepancies to provide accurate invoicing and prompt payment
• Performs other duties as assigned
• Adheres to the letter and spirit of the company Code of Conduct, the AdvaMed Code, MedTech Code, and all other company policies
• Ensures Compliance with applicable governmental laws, rules, and regulations, both in the United States and internationally, by completing introductory and annual training and maintaining knowledge of compliance as it applies to your role
• Represents the company in a professional manner and uphold the highest standards of ethical business practices and socially responsible conduct in all interactions with other employees, customers, suppliers, and other third parties

Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions.

Qualifications:

• High level of quality awareness, accuracy, and attention to detail
• Strong communication, organizational, and problem-solving skills
• Data-oriented with basic proficiency in MS Office Applications, strong analytical skills, and the ability to create detailed reports
• Sense of urgency and customer-oriented mindset with understanding of Health Insurance Portability and Accountability Act (HIPAA) compliance and Protected Health Information (PHI)
• Ability to work independently, multitask and handle various priorities in a fast-paced environment
• Working knowledge of payer reimbursement guidelines and government, regulatory and company billing and compliance regulations/policies for assigned payers
• Effective Verbal and written communication skills
• Typically requires a minimum of 1-2 years of related experience
• High school diploma or equivalent required

Travel and /or Physical Demands:

• Ability to sit for long periods of time, 6-8 hours per day in front of computer screen

Our Values:

Our Life Moves Us philosophy is built on four values: Passionate About Innovation, Customer Focused, Teamwork, and Driven.

• Passionate about Innovation: Improving patient care by delivering advanced technology to our customers is at the core of what we do. We are passionate ab our role in improving the lives of patients by continuously developing better solutions.

• Customer Focused: We listen to our customers’ needs and respond with a sense of urgency.

• Teamwork: Working together, anything is possible. We value every person on our team and treat each other with respect. We are accountable to one another and support each other. Together, we make each other stronger.

• Driven: We pursue our mission with energy and passion.