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Patient Accounts Insurance Representative
4 months ago
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.
Patient First is an equal opportunity employer offering an excellent benefits package and competitive salary. #INDHP
Job Type: Full-time
Weekly day range:
* Monday to Friday
* Weekends as needed
Work setting:
* In-person
Work Location: In person
