Medical Insurance Billing Specialist

Position Purpose

The Insurance Payment Poster and Follow Up Specialist oversees the intake of insurance payments; electronic, cash, and check. In this role, you will manually and electronically process and post a high volume of billing statements while updating account adjustments and keeping records of account standings. The Specialist is responsible for working the unpaid insurance claims work queues and following up on any unpaid.

Essential Job Functions

• Accept payments and process billing statements
• Keep track of payment deposits from patients and insurance reconciling details
• Prepare payment batches
• Conduct audits for billing cycles
• Assess explanation of benefits (EOBs) from insurance companies
• Keep accurate billing records and report any discrepancies to accounting
• Contact patients with updates on their billing questions and concerns
• Contact insurance companies to check on progress of processing rebilled and appeal requests as well as the status of claims received and why they have not been paid. Use insurance websites, when possible, to obtain necessary information.
• Utilize correct insurance forms to appeal decisions and write necessary cover letters when needed during the appeals process.
• Understand and adhere to all HIPAA regulations to maintain our patients’ privacy.
• Requires regular, predictable attendance.
• Flexibility is essential for success with CFG and on occasion, our employees may be asked to complete projects and tasks that could be outside of their normal scope of duties.

Required Competencies

• Effective Communication – both verbal and written
• Documentation and Information Recording – Possess excellent attention to detail as well as data entry skills.
• Customer Service – Ability to respond to questions appropriately and listen attentively.
• Professionalism – Build solid working relationships and support co-workers to foster a friendly work environment.
• Time Management – Must be able to work under pressure and complete projects according to established timeframes.
• Demonstrated comfort with Windows-based computer systems.

Performance Measures

• Completing tasks timely and without additional follow-up that things have been completed.
• Keeping Waystar rejections at zero daily.
• Maintaining good working relationships with all staff.
• Ongoing communication about completion of tasks with Revenue Cycle Director

Required Competencies and Experience

· 2 years of experience directly working with payers and/or claims follow-up

· Customer service: 2 years

· High School diploma or equivalent training or knowledge acquired.

Preferred Competencies and Experience

· Epic experience: 1 year

· Claims experience: 1 year

· Knowledge of CPTs & ICD 10s

· Administrative/Clerical experience

Working Conditions and Physical Requirements

• Ability to walk, stand, stoop, bend, or sit for extended periods of time.
• Physical demands: percentage of time spent in each activity (estimate)
• Walking 15% - assisting patients, delivering information personally to other departments, collaborating with other department employees.
• Sitting 85% - answering the telephone, scheduling appointments and procedures in the call center, working at the front desk, working on the computer.
• Number of pounds that must be lifted, carried, pushed or pulled: up to 20lbs.
• Climbing on step ladders to reach top shelves, stooping, kneeling, crouching, reaching, fingering (like keyboarding, controls on a scanner, fax, etc.)
• Ability to speak clearly to be understood by our patients and employees.
• Ability to hear within normal range. Able to hear patients on the phone in a noisy call center/front desk environment.
• Acuity near and far. Ability to see within normal parameters, and to distinguish colors.
• Ability to work for extensive periods at computer keyboarding.
• Works in a well-lit heated/air-conditioned environment. Temperatures between 68 and 74 degrees.
• Work may involve exposure to communicable diseases, medicinal preparations and other conditions common to a clinic environment.

Equipment used

Computer, printer, multi-line telephone, headset, fax machine, scanner, postage machine

Benefits

The Centers for Gastroenterology is proud to offer medical, dental, vision, life insurance, identity theft protection, a monthly HSA contribution, a 401(k) option with employer matching, 7 paid holidays, a personal holiday, a generous PTO package, a quarterly bonus program, an Employee Assistance program, voluntary accident and critical illness benefits, professional development opportunities, and of course, an awesome work environment!

Equal Employment Opportunity

Centers for Gastroenterology is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, military, or veteran status

Job Type: Full-time

Pay: $19.80 - $23.35 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Referral program
• Retirement plan
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday
• No weekends

Application Question(s):

• Are you related to a current employee of Centers for Gastroenterology?

Experience:

• insurance claim: 1 year (Required)

Ability to Commute:

• Fort Collins, CO 80525 (Required)

Work Location: In person

Salary : $20 - $23