Position: Billing Technician II

Location: Owings Mills MD - ONSITE - In Person Role

Job Type: 12 Month Contract - Possible extension

Hiring Manager Notes:

100% on-site in Owings Mills, MD 21117), 40 hours a week
Looking for customer service skills, call center exp (needs to have inbound call experience), billing/collections background, knowledge of healthcare terminology is a plus
Will be on phones interacting with customers and callers who have billing issues... All calls are in-bound with occasional outbound calls
Needs to have at least a year of billing exp is all that is required.
Accounts receivable/collections exp is nice to have.
Looking for basic skills with Excel.. Teams and Outlook for communication
Sometimes will have to look at invoices and understand/explain them over phone
Daily call volume is around 15-20 calls per rep but in off season now. Closer to end of year/enrollment then it will increase.
Training: will go into detail over enrollment and billing process as well as general info on client. Takes 4-6 weeks. Then they will do chair sides to learn the ends and outs of the roles
Core hours: 8-6pm, Interview process: Will be on-site at the OM office. 1-2 interviews
Cands must be happy and willing to work in a call center environment.. 15-30 calls per day.. So they will be fielding calls, not as much as general call center but that is big part of role...
They will be audited so they need to be OK with that. Needs to be OK with constructive feedback.
Needs to have some form of billing/reconciliation exp in order to do the job well.. Trying to figure what is going on.. Why is there a credit balance. etc..
Health insurance background required. Must understand HIPAA
Enrollment/claims exprience is nice to have

Job description:

PURPOSE:

This position ensures that the more complex accounts are accurately invoiced, reconciled and outstanding payments are collected so that the core system is correct and the client is satisfied. In accomplishing its accountabilities, the position must interact and coordinate with accounts, subscribers, finance, systems and other internal Client departments as well external parties.

This position is responsible for serving as point of contact for internal and external customers regarding all complex billing and collection issues. The associate will assist in the clarification and development of process improvements and inquiries, assure payments related to services from all sources are recorded and reconciled timely in order to maximize revenues. The incumbent may be required to assist with projects for upper management by providing analytical and reporting support for such purposes as: operational efficiency / quality metrics and productivity analysis, end-of-month accounts receivables reconciliation, and monthly account aging reports.

ESSENTIAL FUNCTIONS:

25% Researches and responds by telephone, or in writing to complex patient inquiries regarding billing issues and problems.

25% Reviews billing forms for accuracy and completeness before sending to payors.

20% Assists in the preparation of monthly billing and accounts receivable reports.

15% Assists with complex billing issues, including contacting insurance carriers to confirm patient eligibility and referral information.

10% Ensures all insurance, demographic, and eligibility information is obtained from patients and entered into the system in an accurate and timely manner.

5% Adhere to HIPAA guidelines and other relevant state and federal regulations, and company policies regarding to compliance, integrity, patient privacy and ethical billing practices.

Qualifications:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable

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

Education Level: High School Diploma or GED

Experience: 3 years experience in a Billing, membership enrollment, member services, claims operations or Finance role

Preferred Qualifications

Knowledge, Skills and Abilities (KSAs)
Proficient in MS Office applications., Advanced
Provide excellent customer service with a focus on department goals., Advanced
Works well in environment with firm deadlines; results oriented., Advanced
The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes them ineligible to perform work directly or indirectly on Federal health care programs. Must be able to effectively work in a fast-paced environment with frequently changing priorities, deadlines, and workloads that can be variable for long periods of time. Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging.

Top 5 Required Skills -

Customer Service, Call Center Exposure, Billing or Accounts receivable, MS Applications, HealthCare terminology

Dexian is a leading provider of staffing, IT, and workforce solutions with over 12,000 employees and 70 locations worldwide. As one of the largest IT staffing companies and the 2nd largest minority-owned staffing company in the U.S., Dexian was formed in 2023 through the merger of DISYS and Signature Consultants. Combining the best elements of its core companies, Dexian's platform connects talent, technology, and organizations to produce game-changing results that help everyone achieve their ambitions and goals.

Dexian's brands include Dexian DISYS, Dexian Signature Consultants, Dexian Government Solutions, Dexian Talent Development and Dexian IT Solutions. Visit www.dexian.com to learn more.

Dexian is an Equal Opportunity Employer that recruits and hires qualified candidates without regard to race, religion, sex, sexual orientation, gender identity, age, national origin, ancestry, citizenship, disability, or veteran status.

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