Insurance and Billing Specialist

JOB DESCRIPTION: INSURANCE AND BILLING SPECIALIST

REPORT TO: Insurance Department Manager

ESSENTIAL JOB FUNCTION:

· Verify eligibility and benefits for all patients.

· Process claims for reimbursement and submit to the proper insurer, including Worker’s Comp., Medicare, BCBS, Aetna, United Healthcare and others.

· Bill Medicare secondary insurance.

· Resolves questions and problems related to billing, i.e. balances, codes, etc.

· May post charges and payments on computer.

· Re-bill rejected insurance claims and troubleshoot why they were rejected.

· Maintain data entry collection.

· Maintain filing for department.

· Communicate any office procedural needs to Department and/or Office Manager.

REQUIRED DEMONSTRATED SKILLS/ABILITIES:

· Effective and consistent communication.

· Excellent organizational skills.

· Ability to interact with doctors, staff, patients, and the public in a positive, productive, and professional manner.

· Ability to act independently and use good judgement.

· Ability to operate and navigate healthcare computer software and applications quickly and efficiently.

QUALIFICATIONS/EXPERIENCE:

· High School graduate with at least 1 year of professional experience in the health care setting (billing and insurance experience preferred).

· Knowledge of Medicare and other third-party reimbursement procedures, ICD-10 and CPT coding highly preferred.

· Knowledge of EHR software preferred.

PHYSICAL DEMANDS

· Must be able to sit for extended periods of time.

· Must be able to communicate via the telephone for extended periods of time.

· Must be able to view and type computer data for extended periods of time.

· Must be able to adhere to work schedule.

· Occasional use of a staircase may be necessary.

Please note: This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.

Job Types: Full-time, Part-time

Pay: From $18.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee discount
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Work Location: In person