Job Description
About the position
- Responsibilities
- Submit electronic and hard copy billing and conduct follow up with third party carriers for insurance claims.
- Investigate and coordinate insurance benefits for insurance claims across multiple service lines.
- Obtain claim status via the telephone, internet, and/or fax.
- Review and understand eligibility of benefits.
- Resolve accounts as quickly and accurately as possible, obtaining maximum reimbursement, and perform investigative and follow up activities in a fast-paced environment.
- Conduct research, contact patients, and the local affiliates to include VA, Hospitals, and insurance carriers.
- Handle incoming and outgoing mail, scanning, and indexing documents and handling any other tasks that are assigned.
- Research and verify insurance billing adjustment identification to ensure proper account resolution and act when necessary.
- Identify contractual and administrative adjustments.
- Work independently or as a member of a team to accomplish goals.
- Demonstrate excellent customer service, communication skills, creativity, patience, and flexibility.
- Follow established organization guidelines to perform job functions while staying abreast to changes in policies.
- Correspond with hospital contacts professionally using appropriate language while following the specific facility and department protocol.
- Uphold confidentiality regarding protected health information and adhere to HIPAA regulation.
- Interact with all levels of staff.
- Cross train in multiple areas and perform all other duties as assigned by management.
- Requirements
- High School Diploma or equivalent.
- Bachelor's degree preferred, or equivalent combination of education, training, and experience.
- Prior experience in Insurance follow-up, claims processing, or medical billing preferred.
- Prior experience with Medicaid claims preferred.
- Write grammatically correct routine business correspondence.
- Speak on a one-on-one basis using appropriate vocabulary and grammar to obtain information, explain processes, etc.
- Speak clearly and distinctly on the phone with exceptional etiquette.
- Collaborate with others on projects and/or special assignments.
- Prioritize assignments to complete work in a timely manner, adjusting as circumstances dictate.
- Work independently and follow-through on assignments with minimal direction.
- Analytical skills and the ability to make appropriate decisions independently.
- Complete heavy workload within established time frames.
- Proficient in Microsoft Word, Excel and other desktop software.
- Problem solver with the ability to identify issues, provide feedback and follow-up to resolution.
- Encourages team members to deliver their best performance, providing expertise and direction when applicable.
- Demonstrates ability to learn new systems and processes.
- Effective organizational time-management and detail oriented skills to handle multiple tasks and ensure accuracy.
- Nice-to-haves
- Experience with medical billing software.
- Knowledge of HIPAA regulations and compliance.
- Benefits
- Unlimited opportunities for advancement.
- Full benefits package including health, dental, vision, and life insurance upon hire.
- Matching 401k.
- Competitive salaries.
- Incentive programs.
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