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 ve... more details
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;
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