Sr. Billing & Collections Specialist
Phoenix, AZ - USA
Job Summary
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 Companys extensive range of products services and integrated technologies fuels active lifestyles in orthopedics and more information about Enovis please visit .
What Youll Do
At Enovis we pay attention to the details. We embrace collaboration with our partners and patients and take pride in the pursuit of scientific excellence with the goal of transforming medical technology as we know it.
Because thats how we change the lives of patients for the better. And thats how we create better together. Why work at Enovis See for yourself.
As a key member of the Revenue Cycle Management Team you will play an integral part in helping Enovis drive the medical technology industry forward through transforming patient care and creating better patient outcomes.
Job Title:
Sr. Billing and Collections Specialist
Reports To:
Manager RCM Billing Operations
Location:
Phoenix AZ
Business Unit:
Revenue Cycle Management
Role Summary:
The Sr. Billing & Collections Specialist is a subjectmatter expert responsible for overseeing complex Billing and Collections activities while supporting the accuracy compliance and optimization of revenue cycle operations. This role manages high-risk or escalated accounts identifies denial and process trends partners cross-functionally to drive improvements and serves as a resource to team members to ensure timely collections reduced aging and exceptional service to internal and external stakeholders.
Key Responsibilities:
The following are the primary duties and responsibilities of this role. Other related duties may be assigned to meet the business need.
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 the Revenue Cycle Management Department related to cash collections aged accounts receivable and denials.
Reviews claims with outstanding balances and identifies 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.
Collaborates with offshore Cognizant partners to ensure appropriate audits are taking place and that the Collections Team is appropriately processing the claims denied.
Works to minimize third-party payor denials by identifying trends in claim denials and partnering with various cross-functional departments.
Identifies reasons for denials takes required corrective action and takes ownership of claims through timely and successful collection.
Identifies root causes for initial denials and gaps associated with existing workflows.
Ensures that secondary bills and patient invoices are accurately generated and submitted on a timely basis.
Accurately identifies and updates various types of insurance entry information as needed.
Responsible for identifying potential errors that require necessary coding reviews corrections or adjustments.
Reviews self-pay accounts to determine if all collection efforts have been exhausted.
Minimum Basic Qualifications:
High School Diploma or GED required.
Associate degree preferred.
Minimum of 5 years of experience in medical billing and collections required.
Demonstrated experience leading teams required.
Proficiency in Microsoft Office applications required.
Knowledge of billing and collections regulations required.
Experience in a healthcare environment required.
Knowledge of insurance contract practices third-party billing and billing to private clients required.
Experience using Dataworks Computers Unlimited TIMS or similar third-party billing software strongly preferred.
Demonstrated customer service expertise.
Travel
Must be able to travel up to 10% of the time.
Typical work-related travel assignments range from 1 to 5 days and as such overnight out-of-town stays are required.
Work Environment Physical Demands:
Typical office environment.
Physical Demands: May occasionally lift up to 10 pounds. Routinely uses standard office equipment including computers keyboards phones and printers. Required to talk and hear. Must be able to sit and stand for extended periods of time and use hands and fingers to handle or feel and to manipulate keys on a keyboard and operate portable input devices (e.g. smartphone mouse). May occasionally reach with hands and arms. Must have the ability to look at a computer screen for extended periods of time.
Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
Currently Enovis does not provide sponsorship for employment visas (e.g. H-1B) and will not offer such sponsorship in the future. Applicants must already have full-time work authorization in the United States both now and in the future without requiring sponsorship.
Creating better together. Its the Enovis purpose and its 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.
What does creating better together mean to us at Enovis Discover the why behind our purpose values and behaviors:
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 Companys extensive range of products services and integrated technologies fuels active lifestyles in orthopedics and beyond. Visit 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.
EQUAL EMPLOYMENT OPPORTUNITY
Enovis provides equal employment opportunities based on merit experience and other work-related criteria 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.
Required Experience:
Senior IC
About Company
At Enovis, we develop clinically differentiated medical technology solutions that generate measurably better patient outcomes and transform workflows. Our brands include Aircast, Chattanooga, CMF, Compex, Enovis Surgical, DonJoy, Dr. Comfort, Exos and Procare.