Medical Billing/Ar Specialist

Pinnacle GI Partners is a family of gastroenterology practices. We strive to differentiate our practices with a world-class patient experience, bringing together a remarkable network of skilled physicians with top-notch equipment, facilities, and opportunities to collaborate as professionals.

To aid in our rapid growth and continue to differentiate our patient experience, we're hiring a Medical Biller AR Follow-up Specialist.

Medical Biller AR Follow-up Specialists are responsible for tasks related to ensure the organizations has a way to recover overdue payer or patient payment and collection of medical debt. This role reports to the Billing Manager.

Some of your responsibilities in this role:

• Perform complex billing tasks involving account research and analysis, contract billing, refunds, adjustments, and transfers
• Identify and analyze reasons for outstanding accounts, review payment and rejections and initiate appropriate action and follow-up
• Contact insurance carriers regarding non-payment and/or improper payment of claims
• Reviewing and appeal unpaid and denied claims
• Identify patient accounts for collection action when accounts become delinquent or when unable to contact the patient or responsible party
• Track and resolve discrepancies, based on partial payment and contracts
• Preparing and submitting insurance claims through electronic or non-electronic means to ensure processing and payment.
• Retrieves status information from payer websites.
• Resolving issues related to payments from insurance companies such as rejection or deduction analysis.
• Communicating with insurance carriers or others to coordinate revisions or adjustments for resubmission.
• Contact patients in order to obtain or relay billing account information.
• Field questions from patients, clerical staff, and others.
• Cooperating with the billing manager to ensure that their work adheres to the standards, guidelines, procedures, and deadlines set by the company.
• Preparing special documents as required by managers or physicians.
• Maintain and respect the confidentiality of patient information in accordance with posting guidelines and corporate policy and procedure.
• Participate in proactive team efforts to achieve departmental and company goals.

What we are looking for in a candidate:

• High School Diploma/GED
• Graduate of a Medical Billing training program
• 2+ years or recent experience in high volume medical billing with relevant experience in AR-follow-up
• Knowledge of ICD-10 and CPT coding
• Demonstrate computer skills as evidenced by proficiency and/or training with applicable software
• Problem solving, time management and exceptional interpersonal skills
• Good written and verbal communication skills
• Must successfully pass a background check and drug screen

What we offer:

A professional work environment where you can learn, enhance your skills and grow into new opportunities.

• Competitive pay rates with a signing bonus (employment terms apply)
• Paid time off prorated to the month of hire to the end of the year
• 8 Paid holidays with 2 bonus paid floating holidays
• Medical, Dental, Vision (PT30-FT40 only) with option of voluntary Life & Disability benefits
• 401k retirement plan with company match

About Pinnacle GI Partners

Pinnacle GI Partners is a gastrointestinal health company. Pinnacle GI Partners is a proud Equal Employment Opportunity Employer that participates in E-Verify.

Founded in 2020 and headquartered in Rochester, Michigan, Pinnacle GI Partners offers patients comprehensive GI services encompassing general and sub-specialty gastroenterology, colorectal surgery, endoscopic surgery centers, infusion services, anesthesiology and pathology.

Our vision is to lead the way in gastrointestinal care. We aim to partner with physicians throughout the US to support them in providing great patient care within their communities, to ensure access to the leading edge of clinical practice and research, and to enable a more connected and caring patient experience.

Our model builds on the legacies of our partner practices and is focused on building a platform for the next generation of physicians to support GI care in their communities

Our company maintains substantial physician ownership and is backed by HIG Growth Partners, a leading US-based private equity investment firm with extensive experience in building highly successful healthcare companies.