Billing-Insurance Clerk

Job DescriptionJob Description

River Oaks Endoscopy is currently searching for a (FT, PT, or PRN) Billing and Collections Specialist to work Mondays – Fridays who can work cooperatively with staff and physicians and perform a variety of tasks.

ESSENTIAL DUTIES AND RESPONSIBILITIES:•Strong knowledge of ICD 10•Strong knowledge of CPT (certification preferred not required)•Maintains all claim records•Reviews and appeals denied and unpaid claims•Analyzes, enters, and manipulates database•Follows up on all outstanding payer rejections•Balances and reconciles month end reports•Communicates with the corporate accounting department regarding outstanding items•Maintains strictest confidentiality and adheres to all HIPAA guidelines and regulations•Manages proper submission of all documents in a timely fashion•Attends in-services, seminars, and webinars for additional education and performance improvement•Submits claims to insurance companies for payment•Verifies patients’ insurance coverage•Manages collections and unpaid accounts by establishing payment arrangements with patients, monitoring payments, and following up with patients if or when there is a lapse in payment•Works directly with the insurance company, the patient, and the healthcare provider, to get a claim processed and ultimately paid•Manages the facility’s Account Receivable reports•Answers any questions patients may have about billing•Manages the relationship with collection agencies•Ensures that collection agencies are managing the ASC’s accounts in a compliant manner and reporting discrepancies to the Business Operations contact•Contacts insurance companies regarding any discrepancies in payments•Submits secondary billing in a timely manner with appropriate supporting documentation•Reviews patient accounts for accuracy and completeness and obtain any missing information•Demonstrates courtesy and helpfulness toward patients and their families•Attends all required education•Regular and predictable attendance•Performs other duties as assignedCommunicationAbility to effectively communicate patient care needs and significant information to healthcare team to promote continuity of patient careAbility to respond to questions and professionally interact verbally and/or written with managers, co-workers, patients, and the general publicTeamworkWork well with others – be a team memberReport observed or suspected safety violations, hazards, and policy/procedure non-compliance to Safety Officer or other designated person, following the Chain of CommandParticipate in staff meetings, in-services, and continuing education as required

Apply Now Come Join our Team We offer Competitive Pay, Medical, Dental and Vision Plans

Plus Work/Life balance by Paid Time Off

Must pass a background check and drug screen.

We do not discriminate in practices or employment opportunities on the basis of an individual's race, color, national or ethnic origin, religion, age, sex, gender, sexual orientation, marital status, veteran status, disability, or any other prohibited category set forth in federal or state regulations.

We are an equal opportunity employer.

You must possess a HS school diploma/GED, have had training/courses in business office activities, have third-party-payer billing experience and strong ethical and moral character references.

If you are interested in working in an environment that provides exceptional patient care, please apply online or send resume to: [insert center contact info: i.e., website, address, e-mail, etc.]

Apply Now Come Join our Team We offer Competitive Pay, Medical, Dental and Vision Plans

Plus Work/Life balance by Paid Time Off

Effective November 1, 2021, AMSURG’s Vaccination Policy requires all teammates, including clinicians and independent contractors, to be fully vaccinated for COVID-19 as a condition of employment or engagement. Regardless of position, all new hires must submit proof of vaccination and or obtain an approved medical or religious exemption as a condition of employment. This policy is designed to protect the health and safety of our patients, communities, and each other.

Must pass a background check and drug screen.

We do not discriminate in practices or employment opportunities on the basis of an individual's race, color, national or ethnic origin, religion, age, sex, gender, sexual orientation, marital status, veteran status, disability, or any other prohibited category set forth in federal or state regulations.

We are an equal opportunity employer.

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