180 Medical


Job Information


Performs accounts receivable functions including billing, pursuing reimbursement, customer service, and record keeping.

Job Duties:

  • Responsible for claim review and submission to Medicare, Medicaid, commercial and private insurance payers. Verifies accuracy and completeness of all required information prior to submission.
  • Follows up with insurance companies on unpaid or rejected claims. Resolves issues and resubmits claims.
  • Reads and interprets insurance explanation of benefits. Maintains specialized knowledge in insurance processes and guidelines, including authorizations and limitations.
  • Investigates insurance claim denials, exceptions, or exclusions. Takes necessary action to resolve claim and payer issues in an effort to recover proper reimbursement.
  • Provides customer service relating to all billing inquiries and complaints. Able to explain insurance processes, benefits, and exclusions. Follows HIPAA guidelines in handling customer information.
  • Performs other billing duties as requested by the Billing Supervisor, Billing Manager, or Director of Billing.
Qualifications and Requirements:
  • Must have a high school diploma, college degree preferred, not required.
  • Six months to one year related experience and/or training; or equivalent combination of education and experience.
  • Proficient in use of computers and software including, but not limited to: practice management software, word processing and spreadsheet applications.
  • Detail oriented with ability to multi-task.
  • Manages one’s own time with minimal supervision.
  • Strong mathematics and problem solving skills.
  • Seeks and shares pertinent information related to insurance or internal processes.
  • Communicates effectively both verbally and in writing to convey and receive information.
  • Use logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
  • Self-evaluates performance to make improvements or take corrective action. Consider the relative costs and benefits of potential actions to choose the most appropriate one.
  • Use equipment, facilities, and materials appropriately as needed to do certain work.
Physical Demands:
  • Regularly required to sit, stand, walk, and occasionally bend and move about the facility.
  • Infrequent light physical effort required.
  • Occasional lifting under 10 lbs.
  • Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.

Work Environment:

Work performed in an office environment.

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Equal opportunities

ConvaTec provides equal employment opportunities for all current employees and applicants for employment. This policy means that no one will be discriminated against because of race, religion, creed, color, national origin, nationality, citizenship, ancestry, sex, age, marital status, physical or mental disability, affectional or sexual orientation, gender identity, military or veteran status, genetic predisposing characteristics or any other basis prohibited by law.

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ConvaTec is not accepting unsolicited resumes from agencies and/or search firms for this job posting. Resumes submitted to any ConvaTec employee by a third party agency and/or search firm without a valid written and signed search agreement, will become the sole property of ConvaTec. No fee will be paid if a candidate is hired for this position as a result of an unsolicited agency or search firm referral. Thank you.

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180 Medical