Medical Billing and Collections Specialist II (a)
We work directly on behalf of Ajinomoto Cambrooke Inc and do not charge any agency fees.
What this position has to offer:
- Work for a global leader and innovator in the field of advanced medical nutrition 🌍💊
- Access to a laptop, a tablet, and a company cell phone 💻📱
- Opportunity to grow within a global company environment 💡💪
Interested? Then book a call with us now!
Job Summary
Are you looking for a new professional challenge? 👀 Then keep on reading! 🚀
As a recruiting partner of Ajinomoto Cambrooke Inc we are looking for you as Medical Billing and Collections Specialist II at the location in Ayer, MA.đź“Ť In your position you will support the Finance organization with various duties related to billing and collection of customer accounts and also act as a patient-focused liaison to assist customers with access to our products through the referral process.
Look forward to making a lasting impact and enjoy a comprehensive benefits package that includes wellness and mental health benefits, employee stock option plan, and three weeks of paid time off. 🌟💰
We have sparked your interest? Then arrange an initial interview with us now! 📞🗓️
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What You Will Be Doing
- Ensure Ajinomoto Cambrooke has updated documentation for submission to third-party payers.
- Interact with Client Services, Reimbursement Team, Sales, and Territory Managers for issue resolution and updates.
- Understand Single Case Agreements verbiage & complexity, initiating discussions to address payer denials and claims processing.
- File and e-file insurance claims following payer guidelines or instructions from Contracts and/or Single Case Agreements.
- Process cash receipts and create deposits.
- Process Financial Applications for patients facing financial hardship.
- Timely invoicing for patient balances and Institutional orders.
- Contact healthcare professionals, state agencies, and payers for clinical documents, eligibility, benefits, authorization, and other items for payment.
- Conduct collection calls with payers and institutions until payment or resolution is obtained.
- Research and resolve internal and external credit clients’ billing queries.
- Interact with Client Services and Reimbursement team to resolve payment issues and ensure prior orders are processed accordingly.
- Have working knowledge of Pharmacy Benefits (PBM) and Durable Medical Equipment (DME) companies for patient and family benefit and insurance coverage.
- Understand CambrookeCare process to provide assistance or explain benefits and claims processing based on contracts and agreements.
- Understand and post payer denials for assigned Specialist's appeal based on payer guidelines and/or Case Agreements.
- Ability to obtain and process credit card payments from patients or Institutional clients.
- Assist with month-end/year-end close and reporting.
- Maintain medical records in compliance with HIPAA rules and regulations.
- Adhere to all company SOPs for quality and safety.
What You Bring To The Job
- Minimum High School Diploma or equivalent
- Several years of experience in medical billing, eligibility, authorization, and payer interaction.
- Understanding of HCPCs and ICD10 coding
- Knowledge of HIPAA and ability to maintain confidential information security regarding all company’s proprietary information.
- Proficient in Microsoft Office; Excel, Word, Teams, etc
- Ability to multitask with attention to detail, ensuring accuracy
- Able to prioritize work, anticipate department needs, and handle interruptions with ease
- Strong written and oral communication skills for excellent customer service and/or Revenue Cycle updates
- Compassionate with a drive to ensure optimal coverage for patients and their families to receive Cambrooke products
- Ability to work independently with minimal direction and take initiative within work responsibilities
- Strong team player collaborating with various Revenue Cycle Teams and initiating activity or promptly communicating & mentoring others
- Organized and detail-oriented with strong mathematical aptitude and ability to meet deadlines
- Excellent listening skills for effective communication with team members, colleagues, and external customers & clinics to identify and initiate suggestions, guidance, and resolutions
- Results and people-oriented, balancing business and relationship considerations
- Assist in training and QA of new staff for client services functions implementation
- english: C1 – Advanced
Nice-to-Haves
- College degree
- DME experience
- Medical Terminology and/or Clinical Nutrition knowledge
- Experience with SalesForce or Nexternal
Team
- Reports to: Revenue Cycle Directors
- Colleagues: 4
- Team Language: English
Benefits
Contribution to health insurance
Wellness and mental health benefits
Employee stock option plan
Employee life insurance
Discounts to selected external services (dry cleaning, technology, etc.)
Work From Home (WFH) possible
Expense reimbursement (milage, rentals, etc.)
Laptop, Tablet, Company Cell Phone
3 Weeks Paid Time Off
Short and Long Term Disability coverage
Fitness reimbursement
Profit sharing opportunities
About Ajinomoto Cambrooke Inc
Ajinomoto Cambrooke, Inc. formerly Cambrooke Therapeutics, Inc. (expansion of Cambrooke Foods) was founded in 2000 by Lynn and David Paolella, the parents of two children diagnosed with a rare disease called phenylketonuria (PKU). PKU is one of the few genetic diseases, which is managed almost entirely with nutritional intervention. The Paolellas’ goal in forming Cambrooke was simple - to develop improved nutritional therapeutic options for those with serious medical disorders.
Today, Cambrooke produces medical formulas and foods for the management of a variety of medical conditions and we are continually innovating new nutritional options targeted at a wide array of diseases.
- Industry: Food & Beverages
- Founded: 2000
Next Steps
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Ready to move forward?
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