Insurance and Billing Operations Coordinator

1 week ago


WinstonSalem, North Carolina, United States Piedmont Ear Nose & Throat Associates, Full time

Job Summary

The Insurance and Billing Operations Coordinator is responsible for supporting practice revenue goals by monitoring patient accounts, taking remedial and preventive action to reduce rejected claims. This role requires specialized knowledge, interacting with providers and co-workers to ensure all relevant information is obtained.

Key Responsibilities:

  • Facilitates timely collection of Accounts Receivable (A/R) by reviewing 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.
  • Researches cause(s) for denied claims, communicating with patients to obtain missing/correct information required for refiling; correcting any errors; verifying accuracy and completeness of corrected claims, refiling in a timely manner.
  • Supports the maintenance of complete and precise practice records by posting insurance payments promptly and accurately; entering clear notes into patient records explaining any changes made to account(s), etc.
  • Follows practice protocols to obtain additional information from patients/payers with past due accounts; identifies and escalates problem accounts as appropriate.
  • Works ques's and A/R reports to ensure prompt payment in both the Allscripts and Phreesia systems while working down old A/R.
  • Maintains productive relationship with third party payers and managed care organization by approaching payers' representatives in a positive and courteous manner; promptly corrects any errors (including misapplied payments and overpayments), etc.
  • Supports co-workers and practice revenue maximization efforts.
  • Supports the attainment of patient satisfaction goals by explaining insurance policy requirements, benefits and filing rules to patients; answers patient questions regarding account status, charges, co-pays, deductibles, non-covered services, etc.; resolves patient billing complaints.

Requirements:

  • High School Diploma or equivalent and/or Relevant Associates Degree preferred. Knowledge of coding (CPT, ICD-9, HCPCS, etc.)
  • Computer literacy especially practice PMS. Good customer service skills including both written and verbal. Must be able to ask for money and payments.

Estimated Salary: $45,000 - $60,000 per year, depending on location and experience.



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