Billing & Collections Analyst
Silver Spring, MD
Category: Healthcare
Reference ID: 10069523
Shortcut: http://addisongroup.gosnaphop.com/4GeMmL
Role: Billing & Collections
Employment Type: Full-Time, Direct Hire
Compensation: $30 - $34 / hr (based on experience)
Location: Silver Spring, MD
Industry: Medical, Hospital, Healthcare
Benefits: This position is eligible for medical, dental, vision, and 401(k).
Overview
A leading healthcare organization is expanding its internal dialysis services and is seeking a Program Coordinator to support billing and collections operations. This position will play a key role in managing complex accounts, ensuring accurate reimbursement, and supporting overall revenue cycle performance for dialysis services.
Key Responsibilities
Billing & Claims Management
- Generate and submit claims for dialysis-related services, including hemodialysis, peritoneal dialysis, and home-based treatments
- Monitor claim status and perform follow-ups on unpaid or underpaid claims
- Handle rebilling, secondary billing, and claim corrections as needed
- Investigate and appeal denied claims, ensuring timely resolution
- Maintain compliance with current healthcare billing regulations and payer requirements
Collections & Accounts Receivable
- Manage a portfolio of 50+ accounts, including high-dollar outpatient balances
- Conduct collections activities via payer portals and phone outreach
- Reconcile accounts and ensure accurate posting of charges and payments
- Identify and resolve discrepancies in billing and reimbursement
Insurance & Reimbursement
- Work closely with government and commercial payers, including Medicare and Medicaid
- Interpret payer policies and reimbursement guidelines
- Support insurance verification and authorization processes
Reporting & Process Improvement
- Analyze billing data and identify trends impacting reimbursement
- Assist with development and maintenance of standard operating procedures (SOPs)
- Support updates to billing workflows based on regulatory or policy changes
Qualifications
Required:
- 3–5 years of experience in hospital-based billing and collections
- Strong understanding of the full revenue cycle and high-complexity collections
- Experience working with government payers (Medicare/Medicaid)
- Familiarity with UB-04 billing and outpatient account management
- Ability to manage high-volume workloads with strong attention to detail
Preferred:
- Experience with dialysis billing or specialty healthcare services
- Exposure to electronic health record systems (e.g., Cerner, Epic)
- Experience working within payer portals and patient account systems
Work Environment & Schedule
- Initial onsite training period (approximately 1–3 months, depending on ramp-up)
- Hybrid schedule after training with partial in-office requirements (1 day per week in-office / 4 days remote)
- Flexible scheduling available post-training (early morning to evening shifts)
Interview Process
- Initial phone screening
- Panel interview with cross-functional team members
- Final steps include formal application and standard onboarding process
Additional Information
- Structured onboarding timeline; start dates aligned with organizational scheduling
Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.
#HC3
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