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Insurance and Billing Coordinator

4 weeks ago

ValdeReuil, Normandie, United States Piedmont Ear Nose and Throat Associates Full time
Job Summary

We are seeking a highly skilled Insurance and Billing Specialist to join our team at Piedmont Ear Nose and Throat Associates. The successful candidate will be responsible for monitoring patient accounts, taking remedial and preventive action to reduce rejected claims, and ensuring timely collection of Accounts Receivable (A/R).

Key Responsibilities
  • Facilitate timely collection of A/R by utilizing specialized knowledge, interacting with providers and co-workers to ensure all relevant information is obtained; determine primary and secondary carriers when necessary; review claims for accuracy and completeness before filing, monitoring insurance claims and contacting insurance companies to resolve claims that are not paid in a timely manner.
  • Research the cause(s) for denied claims, communicate with patients to obtain missing/correct information required for refiling; correct any errors; verify accuracy and completeness of corrected claims, refile in a timely manner.
  • Support the maintenance of complete and precise practice records by posting insurance payments promptly and accurately; enter clear notes into patient records explaining any changes made to account(s), etc.
  • Follow practice protocols to obtain additional information from patients/payers with past due accounts; identify and escalate problem accounts as appropriate.
  • Work queues and A/R reports to ensure prompt payment in both the Allscripts and Phreesia systems while working down old A/R.
  • Maintain a productive relationship with third-party payers and managed care organizations by approaching payers' representatives in a positive and courteous manner; promptly correct any errors (including misapplied payments and overpayments), etc.
  • Support co-workers and practice revenue maximization efforts.
  • Support the attainment of patient satisfaction goals by explaining insurance policy requirements, benefits, and filing rules to patients; answer patient questions regarding account status, charges, co-pays, deductibles, non-covered services, etc.; resolve patient billing complaints.
Requirements

The ideal candidate will possess excellent communication and problem-solving skills, with the ability to work in a fast-paced environment and meet deadlines. Strong analytical and organizational skills are essential, as well as the ability to maintain confidentiality and handle sensitive information.