Billing & Insurance Specialist | 40 hours per week | Patient Financial Services HCHC

Southeast Iowa Regional Medical Center

Job Location:

Mount Pleasant, TX - USA

Monthly Salary: Not Disclosed

Posted on: 14 days ago

Vacancies: 1 Vacancy

Job Summary

Minimum Hiring Wage:

From $18.89 per hour

Job Details:

Schedule Hours: Monday - Friday Day Shift

Job Description:

A Brief Overview

Coordinates and assists in the reimbursement for services provided. Accurately files insurance claims for the purpose of settling claims with insurance carriers. Resolves discrepancies in accounting records resolves credits verifies accuracy of all billing data and corrects identified errors. Handles electronic billing functions which includes electronically filing claims and maintaining the electronic filing system. Prepares itemized statements bills or invoices; and records amounts due for services rendered. Keeps records of supporting documents. Contacts patient to obtain or relay account information. Collect information from policyholders to verify accuracy of information on claim forms company records and related documents. Update existing policies and company records to reflect requested changes from policyholders and insurance company representatives. Follows-up on outstanding accounts making proper notations in the billing software. Work denials follow appeal processes and refile claims following through to completion. Investigate and resolve any billing discrepancies or insurance-related issues working closely with insurance providers patients and internal teams. Maintain knowledge of current government and/or carrier regulations relevant to industry. Performs data entry adding calculating and operation of computers equipment and billing software.

What you will do

Prepare insurance claim forms and related documents and review them for accuracy and completeness.
Follow-up on rejected unpaid and denied claims until claims are paid or only self-pay balance remains.
Investigate and resolve any billing discrepancies or insurance-related issues working closely with insurance providers patients and internal teams.
Reconcile accounts and maintain accurate balances.
Perform AR follow up on aging accounts.
Transmit claims for payment or further investigation.
Contact insured or other involved persons to obtain missing information or resolve billing issues.
Review insurance policy to determine coverage.
Research payer websites using computers to enter access search and retrieve data.
Provide customer service such as assisting with inquiries and billing requests.
Monitor for missing information authorization/control numbers.

Qualifications:

Qualifications

H.S. Diploma or General Education Degree (GED) Required
1-3 years Experience working with computers Required
1-3 years Customer service experience Preferred
1-3 years General office or clerical experience. Preferred
Knowledge of principles and processes for providing customer service. This includes customer needs assessment meeting quality standards for services and evaluation of customer satisfaction.
Knowledge of administrative and clerical procedures and systems such as word processing managing files and records designing forms and other office procedures and terminology.
Preferred knowledge in Microsoft Office including Word Excel and Outlook
Knowledge to use electronic equipment and computer applications specific to the job.
Possesses excellent time management and organizational skills.
Possesses problem solving skills
Ability to communicate effectively and document information accurately.
Communicating effectively in writing as appropriate for the needs of the audience.
The ability to read and understand information and ideas presented in writing.
Ability to maintain confidentiality and discretion.
The ability to communicate information and ideas in speaking so others will understand.
The ability to listen to and understand information and ideas presented through spoken words and sentences.
The ability to speak clearly so others can understand you as well as the ability to read write and understand the English language.
Knowledge of arithmetic.
Teaching others how to do something

Benefits:

We are excited to offer an aggressive compensation and benefits package for qualifying positions which includes:

Competitive base pay
Matching retirement programs
Health Dental and Vision plans
Health Savings and Flexible Spending Accounts
Employee discounts including car rental cell-phone plans
Employer-paid Long-Term Disability Life and AD&D
Paid time off (PTO)
Education Assistance Program
Employee Assistance Program
Employee Referral Bonus Program
Discounted cafeteria meals
Paid Parental Leave
Employee Service Recognition program
Voluntary plans including: Life AD&D Short-Term Disability Critical Illness Accident Insurance and Hospital Indemnity

Great River Health and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity and expression age national origin mental or physical disability genetic information veteran status or any other status protected by federal state or local law.

Required Experience:

Minimum Hiring Wage:From $18.89 per hourJob Details:Schedule Hours: Monday - Friday Day ShiftJob Description:A Brief OverviewCoordinates and assists in the reimbursement for services provided. Accurately files insurance claims for the purpose of settling claims with insurance carriers. Resolves disc...