Billing & Collections Specialist

cialists perform a variety of tasks associated with the billing and collections of open Accounts Receivable and are responsible for providing quality customer service while collecting on assigned outstanding, aged account balances.

Key Responsibilities:

• Prepares, edits, and submits account billing in a timely manner and in accordance with customer contract and payer rules and regulations.

• Demonstrates exceptional service and integrity related to customer accounts through accurate, timely, relevant, and quality work efforts of all Accounts Receivable or assigned tasks.

• Review claims with outstanding balances and identify actions to successfully collect revenues.

• Performs collections for Revenue Cycle Management Department related to cash collections, aged accounts receivables, and denials.

• Reviews claims with outstanding balances and identify actions to successfully collect revenues.

• Follows up with insurers and patients to collect outstanding balances while providing exceptional customer service focused on building enduring business relationships.

• Posts all insurance denials in a timely and accurate manner.

• Reviews and prepares audit documentation and submit within timely manner to appropriate auditing entity.

• Identifies reasons for denials, takes required corrective action, and takes ownership of claims through timely and successful collection.

• Research and process charge revisions, corrections, adjustments, and/or discounts associated with disputes.

• Responsible for telephone and/or written correspondence with insurance companies for claims follow up.

• Documents case activity, communications, and correspondence in Company database to ensure completeness and accuracy of account activity and actions taken to resolve outstanding claims issues.

• Schedules follow-up communications in required intervals.

• Assists with resubmission and review of invoices for aged accounts.

Compliance:

• Demonstrates commitment to the Compliance & Ethics Program, the Enovis Code of Conduct, the Enovis Sales and Marketing Code of Conduct, the AdvaMed Code of Ethics, and all supporting and applicable regulations, policies, and procedures.

• Adheres to all internal Corporate Compliance guidelines, OIG, government healthcare regulations, regulatory policies and procedures, and privacy and security standards in accordance with government agencies, including HIPAA requirements.

• Treats Protected Health Information (PHI) with the strictest confidentiality in accordance with HIPAA standards.

• Acquires a basic understanding of the field to include regulatory compliance issues and adheres to these guidelines.

• Hybrid: Tuesday-Thursday (In Office) Monday and Friday (Remote)

• Other duties as assigned.

Minimum Basic Qualifications:

• Minimum of 2 years of experience medical billing and collections required.

• Proficiency in Microsoft Office applications required.

• Knowledge of billing and collections regulations strongly preferred.

• Experience in a healthcare environment strongly preferred.

• Knowledge of insurance contract practices, third-party billing and billing to private clients strongly preferred.

• Experience using Dataworks, Computers Unlimited TIMS, or similar third-party billing software strongly preferred.

• Demonstrated customer service expertise.

Education:

• High School Diploma or GED required.

Travel Requirements:

• This position does not require travel.

Desired Characteristics:

• Exhibit a strong desire for technical knowledge, skills, and judgment to effectively serve customers and achieve goals.

• Demonstrates excellent attention to detail.

• Communicates effectively at all levels of an organization.

"Creating better together". It's the Enovis purpose, and it's what drives us and empowers us every day on a global scale. We know that the power to create better - for our customers, our team members, and our shareholders - begins with having the best team, pursuing common goals, operating at the highest levels, and delivering extraordinary outcomes.

Watch this short video and discover what creating better together means to us at Enovis:

Our Enovis Purpose, Values and Behaviors on Vimeo

We offer a comprehensive benefits package which includes:

• Medical Insurance

• Dental Insurance

• Vision Insurance

• Spending and Savings Accounts

• 401(k) Plan

• Vacation, Sick Leave, and Holidays

• Income Protection Plans

• Discounted Insurance Rates

• Legal Services

ABOUT ENOVIS

Enovis Corporation (NYSE: ENOV) is an innovation-driven medical technology growth company dedicated to developing clinically differentiated solutions that generate measurably better patient outcomes and transform workflows. Powered by a culture of continuous improvement, global talent and innovation, the Company's extensive range of products, services and integrated technologies fuels active lifestyles in orthopedics and beyond. Visit https://www.enovis.com to learn more.

EQUAL EMPLOYMENT OPPORTUNITY:

Enovis provides equal employment opportunities based on merit, experience, and other work-related criteria and without regard to race, color, ethnicity, religion, national origin, sex, age, pregnancy, disability, veteran status, or any other status protected by applicable law. We also strive to provide reasonable accommodation to employees' beliefs and practices that do not conflict with Enovis policies and applicable law. We value the unique contributions that every employee brings to their role with Enovis.

ABOUT ENOVIS™

Enovis Corporation (NYSE: ENOV) is an innovation-driven medical technology growth company dedicated to developing clinically differentiated solutions that generate measurably better patient outcomes and transform workflows. Powered by a culture of continuous improvement, global talent and innovation, the Company's extensive range of products, services and integrated technologies fuels active lifestyles in orthopedics and beyond. For more information about Enovis, please visit https://www.enovis.com.

EOE AA M/F/VET/Disability Statement

All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of race, religion, color, national origin, sex, protected veteran status, disability, or any other basis protected by federal, state or local laws.