Insurance Specialist
6 days ago
We are seeking an experienced Insurance Specialist to join our team in a full-time capacity. As a key member of our revenue cycle team, you will play a critical role in ensuring timely payment from insurance companies.
Responsibilities:
- Completes information on insurance forms with accuracy and attention to detail.
- Verifies specifications required by insurance companies for timely payment.
- Maintains knowledge of billing Medicare, Medicaid, Tricare, and Commercial accounts to meet specifications.
- Monitors demographic, CPT, and charge accuracy for 1500 HCFA insurance claims.
- Stays up-to-date with current fee schedules and recommends adjustments as necessary in compliance with state and federal law.
- Assists insurance companies with inquiries about accounts relative to insurance benefits deposition.
- Demonstrates proficiency in electronic transmission of claims, including correction of claims with minimal interruption.
- Maintains knowledge of the physician billing system.
- Follows up on unpaid claims for both insurance and patients via phone, fax, or mail, knowing when to become assertive.
- Identifies overpayments on patient accounts and initiates refund and adjustment process in accordance with internal controls.
- Provides excellent customer service to geriatric or emancipated minors who contact us via phone.
- Maintains strict patient confidentiality.
- Performs special assignments as required.
- Researches line item EOB's for incorrect payment levels and works directly with insurance companies for assurance of benefits and correct reimbursement through oral and written communication.
- Ensures accurate balancing for financial reporting purposes.
- Utilizes ICD-10 and CPT formats for appropriate coding.
- Prints, reviews, and mails all insurance claims as needed on a regular basis.
- Responds to and/or directs all correspondence.
- Maintains direct communication with providers and staff.
- Communicates with the AR Manager regarding problem areas.
- Maintains knowledge of Corporate Compliance issues related to daily work.
- Perform other duties as assigned.
Requirements:
- High school graduate or equivalent is required.
- Minimum two years of experience in a medical billing environment working with insurance and patient claims processing is required.
- Able to type productively at 30 w.p.m. or higher is required.
- Strong interpersonal skills and ability to work well in a team environment are required.
- Accurate financial record-keeping and mathematical skills are essential.
- Knowledge of medical terminology, ICD-10, and CPT coding is required.
- Experience with E/M procedural coding is preferred.
- Proficiency in computer applications is required.
- Knowledge of Windows operating system is preferred.
Compensation: We offer a competitive salary range of $45,000 - $60,000 per year, depending on experience.
Benefits:
- Comprehensive health, dental, and vision insurance plans.
- Flexible spending account and health savings account options.
- Short-term disability and long-term disability insurance.
- Life insurance and accidental death and dismemberment insurance.
- 403(b) retirement plan with company-funded matching.
- Tuition assistance and student loan repayment programs.
- Professional training and development opportunities.
- Leadership academy and career growth opportunities.
About Us:
We are Seven Counties Services, a leading provider of mental and behavioral health services in the Louisville Metro area. Our mission is to provide high-quality care to our community while fostering a supportive and inclusive work environment for our employees.
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