INSURANCE SPECIALIST

5 days ago

Richmond, United States VA Ear Nose Throat Associates Full time
Job DescriptionJob DescriptionSUMMARY DESCRIPTION

The Medical Office Specialist is responsible for calculating estimates for upcoming surgeries scheduled at the surgery center and contacting patients to arrange upfront payment.

RESPONSIBILITIES

  • Verifying patients’ insurance benefits, calculating the patient pay amounts and contacting patients to verify information and collect balances due two weeks prior to surgery.
  • Working the self-pay collection report and contacting patients regarding their outstanding balances.
  • Pulling the automatic payment report from the merchant account and posting payments to the patient’s accounts.
  • Contacting patients with an outstanding self-pay balance and setting up payment arrangements.
  • Making the decision, after internal collection efforts are exhausted, to send accounts to external collections.
  • Managing the self pay credit balance report, submitting accounts to the manager for approval of refund
  • All other duties as assigned.

QUALIFICATIONS

  • A high school diploma.
  • Experience in a medical office setting, preferably at least 2 years and preferably with billing functions;
  • Excellent communication and customer service skills;
  • Basic knowledge of keyboard and accurate data entry skills;
  • Technical skills sufficient to be able to run reports and interpret data;
  • A team player who is able to facilitate people working together in a collegial and efficient manner;
  • Ability to communicate clearly in person and/or on the phone and establish/maintain cooperative relationships with patients, physicians and staff;
  • Ability to organize and prioritize tasks effectively;
  • Ability to read, understand and follow oral and written instructions.

ENVIRONMENTAL/WORKING CONDITIONS
  • Medical office setting.
  • Well-lit and well-ventilated adequate space.
  • Some exposure to communicable diseases and other conditions common to a clinical environment.
PHYSICAL/MENTAL DEMANDS
  • Requires sitting for extensive periods of time.
  • Must be able to view a computer screen for an extended period.
  • Light lifting required up to 15 lbs.
  • Requires manual dexterity sufficient to operate a keyboard, operate a calculator, telephone, copier, and such other equipment, as necessary.

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