What are the responsibilities and job description for the Billing / Insurance Collections Specialist position at CAIPA MSO?
We are looking for an experienced Billing / Insurance Collections Specialist to join our team. The ideal candidate will be responsible for managing the billing and insurance collection process, ensuring timely and accurate payments from insurance payors and patients, and maintaining detailed and up-to-date records. The successful candidate will have a strong attention to detail, excellent communication skills, and the ability to work independently as well as part of a team.
ESSENTIAL DUTIES AND RESPONSIBILITIES
The Billing / Insurance Collections Specialist is responsible for coordinating with insurance carriers to ensure the receipt of outstanding insurance claim payments, and performs a variety of insurance billing, data entry, and duties including, but not limited to generating and billing out claims and benefits eligibility verification. Follow-up on claims payment status averaging around 25-35 accounts per day.
Requirements
- Maintain individual office Insurance Accounts Receivable at an acceptable level as outlined by Management
- Reviews and processes correspondence from patients and insurance carriers to ensure accuracy on insurance billing and procedures performed
- Insurance Follow-up with primary, secondary, and tertiary claims.
- Annotates adjustments / updates to patient accounts.
- Provide auditors, billers, posters, and other insurance collections specialists with assistance in the follow-up of outstanding claims payments.
- Denial Management to include payer denials and denial solutions.
- Use interpersonal and communications skills to obtain claims approval and payment information from various carriers
- Submitting appeals to carriers for reasons such as medical necessity and bundling
- Reviews, analyzes, and maintains unbilled charge reports, denial reports, claim allocation reports and internal reports as needed.
- Communicate issues and suggestions to improve processes
- Ensure compliance with Company policies, as well as State, Federal and other regulatory bodies
- Other duties as assigned by the Office Manager, Billing Manager, and / or Leadership team
MINIMUM QUALIFICATIONS
BENEFITS
Salary - $40,000 - $50,000
Salary : $40,000 - $50,000
