Billing and Insurance Specialist--ON SITE

Multi-specialty medical practice is seeking a full-time in-office Billing and Insurance Verification Specialist. Applicant must possess strong interpersonal communication, analytical, technical and problem-solving skills. Must also have a highly professional demeanor with ability to multi-task, and work independently and in a team environment.

This is an in-office position and remote work is not available.

ESSENTIAL FUNCTIONS:

• Responsible for effective and efficient verification of all patients’ benefits before their appointment.
• Responsible for answering incoming calls from other providers, recipients, and carrier groups in relation to insurance coverage.
• Research eligibility information online with various insurance carriers
• Responsible for acting as a liaison between patients, healthcare providers, and insurance carriers to ensure all proper measures are taken and information is collected.
• Ensures all patient questions are answered and issues are resolved timely by utilizing the appropriate resources.
• Responsible for obtaining all referrals and authorizations for procedures and services, as required.
• Handling billing questions, collecting outstanding balances, and establishing payment plans.
• Accurately posting insurance and patient payments, including managing denials and resolving discrepancies.
• Preparing and submitting clean claims to insurance carriers and government payers, often using EHR software.
• Other duties as assigned by the Billing Manager

Required Qualificiations:

• 5+ years of experience directly related to medical pre-certifications/authorizations and insurance verification
• 2-3 years of current healthcare experience and detailed knowledge of ICD-10, CPT, and Insurance policies
• Strong decision-making and organizational skills; with excellent verbal and written communications
• Must have proficient computer skills using Microsoft Office (Excel, Outlook and Word). E-clinical Medical Software a plus

Pay is based on experience.

Job Type: Full-time

Pay: $20.00 - $25.00 per hour

Work Location: In person