Medical Insurance Specialist

1 week ago


Paris, Texas, United States Tapia Internal Medicine Clinic Full time

Job Summary

The Insurance Specialist will assist in the clarification and development of process improvements and inquiries, assure payments related to patient services from all sources are recorded and reconciled in a timely order to maximize revenue. Insurance Specialist is responsible for verifying patient insurance coverage, to ensure necessary procedures are covered by an individual's provider. Employee is responsible for entering data in an accurate manner, as it is his/her job to update patient benefit information in the insurance system and verify that existing information is accurate. This position requires the employee to spend extensive amounts of time on the phone with insurance companies.

Hours: Monday - Friday, scheduled Saturdays from 8am-12pm required.

Responsibilities and Duties

  • Verify both primary and secondary insurances and obtains benefits
  • Calculate copayments and deductibles & complete proper documentation in computer system
  • Notify patients of their financial responsibilities
  • Communicate with front office on patient balances/insurance issues
  • Prepare and submit clean claims to third party payers
  • Helps coordinate collection process, working closely with Practice Manager
  • Maintain and update the report of billing activities and present to Practice Manager
  • Manage patient account statuses
  • Denial and insurance follow-up management
  • Post adjustments, transfer of responsibility and refunds as assigned
  • Manage and work AR accounts in a timely manner
  • Cross train at front desk (check in /check out receptionist)

Qualifications and Skills

  • Dependable, punctual and able to work flexible hours
  • Multi-tasking capability without compromising on quality
  • Excellent organizational skills a must
  • Solid interpersonal communication, documentation and customer service skills required
  • Ability to prioritize task according to importance in a fast paced environment
  • Team player
  • Knowledge of healthcare insurance and medical terminology
  • Ability to initiate, obtain and/or update verification and pre-certifications as appropriate for patient services
  • 1-2 years of medical insurance REQUIRED

Job Type: Full-time

Pay: From $16.00 per hour

Benefits:

  • Health insurance
  • Paid time off

Work Location: In person



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