Overview:
The Billing and Collections analyst is responsible to receive the case once DME delivery is completed in order to start and complete the process of billing, collections, cash posting and reconciliation. Is also responsible for maintaining the Revenue Cycle Manager up-to-date of any situation that affects the cash flow and visits insurance carriers for outstanding claims.
Responsibilities:
On Proclaim (company’s billing system) review information in patient accounts and enter patient demographic and insurance information as needed. Utilize available resources to gather complete insurance data including use of insurance websites.Before creating a claim on the billing system, review that all billing required documents are attached to CRM or OPEI, CPT, Dxs. and any other information that it’s mandatory to bill charges.Complete insurance verifications as needed.Ensures all charges are initially submitted within 5 business days of the date of service, according to Medicare and Medicaid regulations and receive by payers.Bill charges to patients when necessary.Monthly, review and analyze the A/R Aging; and conducts audits of balances pending.Processes billing weekly; notify Revenue Cycle Supervisor when errors occur that prevent complying with the deadlines.Analyze and resolve insurance denials by examining provider documentation according to the payer timeframes and procedures.Track and trend claim denials and identify root causes to support process improvements and reduce future denials.Prepare various billing reports assigned and inform any issues back to the Revenue Cycle Supervisor.Handles escalated or complex claims according to payers’ appeals levels.Respond to escalated billing inquiries from patients, insureds and internal staff.Apply into the billing system all electronic and manual payments within the month it is received.Process write-offs, credit memos, other billing adjustments, return premium disbursements (refunds), process select cash application transactions including payment reversals, payment transfers, and modify payment distribution.Record claims deductible charges and maintain automatic payment set-ups.Weekly, visits the payers to discuss any issues that results in denials.Maintain an excellent communication with medical office, patients and payers’ representatives. Work closely with all internal areas to assure a proper process.Meet production metrics and daily workflow.Other duties and responsibilities as assigned.Key Competencies:
Analytical and problem-solving skills.Strong attention to detail and accuracy.Time management and ability to meet deadlines.Effective communication and interpersonal skills.Ability to work independently and as part of a team.Organizational and prioritization skills
Requirements:
A certification in Billing for Medical Plans is required and or a Medical Assistant course, preferred.Three (3) years of related experience in insurance carriers accounts receivable and payment reconciliations. Experience with claims audits. Computer literate MS Office (Word, excel, power point and outlook)Knowledge of Proclaim billing system (Assertus).Knowledge of electronic medical records. Knowledge in insurance carriers billing requirements (manual and electronic) Knowledge in insurance carriers appeals and adjustments processes. Detail oriented, organizational and work under pressure skills.Super interpersonal relations skills, and excellent communication with insurance carriers.Bilingual (Spanish and English).Equal Employment Opportunity Employer
We are a Diabetes one-stop shop for Continuous Glucose Monitor and Insulin Pump equipment in Puerto Rico and the Caribbean.
Overview
Job Summary
The Multimedia Creator is responsible for developing high-quality visual and multimedia content that supports the company’s branding, marketing, and communication efforts. This role provides in-house creative support to the Marketing Department and affiliated sister companies, producing graphic designs, videos, and photographic content as needed.
The ideal candidate combines strong graphic design skills with multimedia production capabilities and a keen eye for detail, while understanding the importance of accuracy, consistency, and compliance within the medical devices and diabetes care industry.
Core Responsibilities
Design and develop graphic materials for marketing, sales, and internal communications, including but not limited to:Digital and print adsSocial media assetsPresentationsBrochures, flyers, and product collateralTrade show and event materialsCreate, edit, and produce video content, including:Promotional and educational videosShort-form social media videosInternal communication videosPerform basic photography and photo editing when required for products, events, or corporate content.Ensure all creative materials adhere to brand guidelines, visual identity standards, and messaging consistency across the company and its sister companies.Collaborate closely with the Marketing team to support campaigns, product launches, and ongoing marketing initiatives.Adapt creative assets for multiple formats and platforms (web, social media, email, print).Manage multiple projects simultaneously while meeting deadlines.Maintain organized files and creative archives.Stay current with design trends, multimedia tools, and best practices, particularly within healthcare and medical device marketing.Requirements:
Bachelor’s degree or equivalent experience in Graphic Design, Multimedia Design, Visual Communications, or a related field.Proven experience (2 years of experience) in graphic design and multimedia content creation.Strong proficiency in Adobe Creative Suite, including:Adobe PhotoshopAdobe IllustratorAdobe InDesign (preferred)Video editing tools such as Adobe Premiere Pro and/or After Effects (preferred)Experience with video editing and basic motion graphics is strongly preferred.Strong understanding of layout, typography, color theory, and visual storytelling.Ability to translate marketing concepts into compelling visual content.Preferred Qualifications:
Previous experience supporting an in-house marketing team.Experience in healthcare, medical devices, or regulated industries.Photography and photo-editing experience.Familiarity with social media platforms and digital marketing requirements.Key Competencies
Creative thinking and attention to detailStrong organizational and time-management skillsAbility to work collaboratively in a fast-paced environmentFlexibility and willingness to support multiple brands and sister companiesClear communication skills and receptiveness to feedbackWorking Conditions
This is an on-site, in-office position.The role is not remote and not hybrid; regular presence at the company’s offices is required.Provides in-house support to the Marketing Department and affiliated sister companies.May require occasional additional hours or on-site support for events, photoshoots, product launches, or marketing initiatives. Read Less