Insurance Claims Specialist

Job Title

Responsible for accurate, timely and complete documentation regarding insurance verification, billing and collections.

Essential Functions

• Responsible for auditing the admission packets and for the verification of benefits along with all patient demographic information in the patient accounting system.
• Financial counseling of patients and / or guarantors and collecting any out of pocket (deductibles, copays, exhausted days, etc). Provide information to the patient and / or guarantors regarding their benefits and financial obligations.
• Complete financial disclosure paperwork for patients that request assistance including verifying income and expenses.
• Complete adjustment forms for any charity or administrative adjustments for approval.
• Complete promissory notes for patients that request payment arrangements.
• Update daily the upfront collection log, charity log, and admin adjustment log. Review with BOD on a weekly basis.
• Gather and interpret data from system and understands appropriate course of action to take and initiates time-sensitive and strategic steps resulting in payment.

Other Functions

Education / Experience / Skill Requirements

We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws.