SENIOR BILLING AND CLAIMS REPRESENTATIVE.

C0020793505P Alaska, United States of America

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SENIOR BILLING AND CLAIMS REPRESENTATIVE.

Job Title

Job Family

Function

CFO

Job Code

30008795

Reports to Job

Business Unit Lead

Job Description Summary

The Senior Billing and Claims Representative is responsible for overseeing and optimizing the credit and collections processes within the organization. This role involves but not limited to: managing complex accounts, leading a team of credit and collection professionals, developing strategic collection initiatives, and ensuring adherence to credit policies and regulatory requirements. The Senior Advisor plays a crucial role in improving cash flow, reducing bad debt, and maintaining positive relationships with clients and stakeholders.

Strategic Roles & Responsibilities %

Strategic Roles & Responsibilities

Operational Roles & Responsibilities %

100

Operational Roles & Responsibilities

process claims based on the services charged by the clinical team and process claim supporting documentation
update regularly the billing systems with the latest claim information corrections and adjustments to ensure data accuracy and consistency
Generate invoices and update billing status including Dental and Medical billing
Respond to inquiries from insurance companies and payers related to individual patientscases and Review incoming and outgoing documents related to invoices and payments

Minimum Education Required

Bachelor's Degree in Accounting, Finance, and relevant field

Professional Certifications Required

(Certification in revenue cycle management or case management is preferred)

Years of Experience

Minimum 6 years' experience in billing and claims management or related field

Languages

English:Advanced ; Arabic:Basic

Functional Competencies

Due Diligence
Audit Reporting
Data Collection

Core Competencies

Excellence
Integrity
Accountability
Cybersecurity
Person-Centered Care

Acknowledgement

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Addendum Title

Supplemental Work/Experience/Education Information

N/A

Addendum Description

N/A

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