Insurance and Billing Specialist
7 days ago
Description:
This position supports practice revenue goals by monitoring patient accounts, taking remedial and preventive action to reduce rejected claims.
1. Facilitates timely collection of Accounts Receivable (A/R) by utilizing specialized knowledge, interacting with providers and co-workers to ensure all relevant information is obtained; determines primary and secondary carriers when necessary; reviews 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.
2. Researches cause(s) for denied claims, communicating with patient to obtain missing/correct information required for refiling; correcting any errors; verifying accuracy and completeness of corrected claims, refiling in a timely manner.
3. 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.
4. Follows practice protocols to obtain additional information from patients/payers with past due accounts; identifies and escalates problem accounts as appropriate.
5. Works ques's and A/R reports to ensure prompt payment in both the Allscripts and Phreesia systems while working down old A/R.
6. 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.
7. Supports co-workers and practice revenue maximization efforts.
8. 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.
PIb3e574799b96-25405-35827696
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