Sign-on Bonus!
The responsibilities of this job include, but are not limited to, the following :
- Reviewing processed claims to ensure proper payments received according to the payers' contract;
- Reviewing unprocessed claims within the payer's timely filing limits for re-submission of claims for payment;
- Verifying eligibility, benefits, plan type, patient responsibility and insurance payments;
- Correcting registration errors on patients' accounts;
- Researching insurance Eligibility of Benefits (EOB) to verify correct payment and adjustments are posted to patients accounts;
- Verifying that claims are filed according to the contracted agreement;
- Effectively communicating insurance trends or issues to the appropriate persons, including but not limited to Patient Satisfaction Specialist (PSS), Team Leads, Supervisor, and the contracting department;
- Maintaining low accounts receivable days for assigned insurances;
- Maintaining the daily work flow goals established for the Patient Account Insurance Representative department;
- Following departmental policies and procedures;
- Answering phone calls to provide customer service to patients, insurance representatives, center employees, and the Administrative Offices;
- Resolving and responding to account inquiries from patients, insurance representatives, center employees, and all other Administrative Office staff as necessary and in a timely manner;
- Processing patients' payments and established payment plans;
- Establishing and maintaining a working relationship with payer representatives to ensure proper claims filing and insurance payments;
- Keeping informed of all changes relating to insurance policies and filing procedures, according to contracted agreements.
Minimum education and professional requirements include, but are not limited to, the following :
- Employee must be 18 years of age or older;
- High school graduate or equivalent;
- Knowledge of general insurance policies;
- Microsoft Word, Excel, and Outlook experience (required);
- Certified Professional Coder CPC or Certified Professional Coder Apprentice CPC-A (preferred);
- Three years of experience working in the healthcare field, preferably in a medical billing department (preferred);
- Excellent analytical, written, and verbal communication skills;
- Ability to prioritize, organize, and multi-task in a timely manner;
- Knowledge of Microsoft Word, Outlook, and Excel;
- Minimum typing experience;
- Must be able to use phone system;
- Must be able to sit for long period of time.
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