Insurance Specialist

5 days ago

Baton Rouge, Louisiana, United States Lofton Staffing & Security Full time
Job Title: Insurance/Billing Specialist

Job Summary:

The Insurance/Billing Specialist will be responsible for overseeing patients' accounts, collecting balances, and maintaining a high level of insurance expertise. This role plays a crucial part in ensuring seamless coordination between insurance processes, patient care, and administrative functions.

Key Responsibilities:
  • Maintain a high level of care, compassion, and professionalism when interacting with patients, families, and team members.
  • Maintain a high level of insurance knowledge and capability to explain this to others.
  • Navigate Electronic Medical Records system and insurance clearinghouse.
  • Obtain necessary insurance authorizations and insurance benefit verifications.
  • Educate families about benefits, costs, and responsibilities.
  • Handle insurance claims, denials, and payment issues.
  • Answer patient billing questions in a caring and professional manner.
  • Investigate denied or rejected claims, review EOBs, and work with insurance companies and/or patients for resolution.
  • Create and submit appeals when necessary.
  • Properly document insurance information and communication in patient charts.
  • Continuously look for ways to streamline insurance-related processes and maintain up-to-date contact information for insurance providers.
  • Regularly review and address inquiries, emails, and phone messages.
  • Make calls to patients' families to discuss account balances in a respectful manner.
  • Enter deposits in a checkbook ledger, reconcile bank deposits, and assist with collections.
  • Obtain NPI numbers, assist therapists with credentialing, maintain staff credentialing records, and manage insurance provider applications.
  • Assist front desk staff with patient services as needed.
  • Organize and scan inactive patient files, employee files, and business records.
  • Perform clerical work such as filing, copying, and faxing.
  • Maintain and submit personal leave and payroll records.
  • Comply with policies and procedures.
  • Participate in any task that is in line with the mission.
  • Participate in staff meetings and ensure professional conduct.

Requirements:

  • High School Diploma
  • Clear Drug Screen and Background
  • Essential Skills and Qualities:
  • Positive, professional, and confident personality.
  • Proven work experience in billing, accounts receivable, and insurance processes.
  • Working knowledge of Google Suite.
  • Attention to detail, problem-solving abilities, and creative thinking.
  • Strong communication and organizational skills.
  • Strong ability to develop and foster positive relationships with co-workers and clients.
  • Working knowledge of office management and filing systems.
  • Flexibility, punctuality, and adaptability in a fast-paced environment.
  • Strong sense of responsibility, ability to maintain confidentiality, and desire to provide positive customer service.
  • Enjoy working with families and children.

Job Type: Temp to Hire

Post Date: 10/09/2024

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