Job Description Summary
Urology and Critical Care (UCC) is an established and trusted partner in urinary healthcare, developing complete solutions which optimize the urine drainage process in the Acute Care Hospital setting.As a Billing Rep II, your primary focus will be working with external audits, reviewing claims to determine whether or not they were billed correctly, and gathering documentation to support the audit response to the payor to secure reimbursement. You will be using multiple systems to retrieve and review information for compliance measures and for the purpose of compiling audit packets. Our ideal candidate is familiar with insurance, understands Medicare’s Local Coverage Determinations, payor requirements and medical terminology, plus is comfortable using multiple software applications.
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Job Description
We are the makers of possible
BD is one of the largest global medical technology companies in the world. Advancing the world of health™ is our Purpose, and it’s no small feat. It takes the creativity and passion of all of us—from design and engineering to the manufacturing and marketing of our billions of MedTech products per year—to look at the impossible and find ground-breaking solutions that turn dreams into possibilities.
We believe that the human element, across our global teams, is what allows us to continually evolve. Join us and discover an environment in which you’ll be supported to learn, grow and become your best self. Become a maker of possible with us.
PRIMARY DUTIES AND RESPONSIBILITIES
1. Work with external audits by reviewing claims for billing accuracy.
2. Documentation gathering for audit response.
3. Retrieve and review information for compliance.
ANCILLARY DUTIES AND RESPONSIBILITIES
Receive payment denials and to investigate the reason and resolve the situation with the payer or patient.
Receive inbound and place outbound calls from and to customers, Medicare, Medicaid and Commercial insurance providers regarding patient accounts.
Provide written correspondence to audit requests to include investigation and obtaining of appropriate documentation to be attached to response.
Document status of billing and payment process in patient account for future follow‐up.
Keep current on payer requirements via research and mentor to ensure guidelines and procedures are being met for each payer.
Answer and follow up on calls from patients with billing questions.
Complete all end of month reports as requested, directed or assigned.
Complete all internal system service ticket requests as assigned.
Education/Experience:
High School Diploma or general education degree (GED); two to four years prior medical supply billing experience and/or 1‐3 years prior experience as an AR Billing Representative I exceeding performance levels and expectations for that role.
Ability to read, analyze, and interpret medical supply publications, technical procedures, and/or training tools.
Ability to write internal and external business correspondence.
Ability to effectively present information and respond to questions from management, team members, and/or customers.
Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, and percentages.
Ability to apply intermediate math skills.
Ability to solve practical problems and deal with a variety of variables.
Knowledge of Microsoft Office Applications, Access or other database software.
For certain roles at BD, employment is contingent upon the Company’s receipt of sufficient proof that you are fully vaccinated against COVID-19. In some locations, testing for COVID-19 may be available and/or required. Consistent with BD’s Workplace Accommodations Policy, requests for accommodation will be considered pursuant to applicable law.
Why Join Us?
A career at BD means being part of a team that values your opinions and contributions and that encourages you to bring your authentic self to work. It’s also a place where we help each other be phenomenal, we do what’s right, we hold each other accountable, and learn and improve every day.
To find purpose in the possibilities, we need people who can see the bigger picture, who understand the human story that underpins everything we do. We encourage people with the imagination and strive to help us reinvent the future of health. At BD, you’ll discover a culture in which you can learn, grow, and thrive. And find happiness in doing your part to make the world a better place.
To learn more about BD visit https://bd.com/careers
Becton, Dickinson and Company is an Equal Opportunity/Affirmative Action Employer. We do not unlawfully discriminate on the basis of race, color, religion, age, sex, creed, national origin, ancestry, citizenship status, marital or domestic or civil union status, familial status, affectional or sexual orientation, gender identity or expression, genetics, disability, military eligibility or veteran status, or any other protected status.
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Primary Work Location
USA FL - Stuart Airport RoadAdditional Locations
Work Shift
US BD 1st Shift 830am-5pm (United States of America)
