What are the responsibilities and job description for the Insurance and Claims Representative-Lead position at Cherry County Hospital and Clinic?
Job Description
Job Description
Description :
Job Posting : Insurance and Claims Representative -Lead
Location : Cherry County Clinic, Valentine Ne 69201
Benefit Eligible : Yes
Position Summary :
We are seeking a detail-oriented and organized Insurance and Claims Representative to join our team at the Cherry County Clinic. In this role, you will perform a variety of clerical and patient accounting functions within the patient accounting, accounts receivable, or hospital revenue cycle areas. The role involves handling insurance claims, billing processes, and ensuring compliance with all regulatory requirements. The position offers a great opportunity for those with prior medical billing or insurance experience, and it includes the potential to act as a Lead Representative in the future.
Duties and Responsibilities :
- Work with daily electronic billing files and submit insurance claims to all payer types, including Medicare, Medicaid, Managed Care, HMO, PPO, and patient.
- Accurately bill patient accounts to ensure timely claim submission and reimbursement from all payer types.
- Review, evaluate, and forward manual patient account statements to payers that require special handling.
- Document all billing activity on patient accounts and ensure compliance with billing regulations.
- Review claims for accuracy and collaborate with other departments to provide necessary information for audits and record reviews.
- Make corrections based on payer error reports to optimize electronic claim submissions.
- Respond to written or oral requests for itemized bills from patients, insurance companies, and attorneys.
- Ensure proper billing and reimbursement for all services and supplies provided to patients.
- Perform other reporting tasks related to revenue cycle functionality as needed.
- Maintain patient confidentiality in accordance with HIPAA and organizational policies.
- Comply with Corporate Compliance and hospital personnel policies.
- Perform other duties as assigned by the supervisor.
When Acting as a Lead :
Skills and Abilities Required :
Physical Demands and Working Conditions :
Comprehensive Benefit Package, which includes :
Reports to : Controller
Direct Reports : This position has no direct reports.
How to Apply :
If you are passionate about healthcare administration and have the required skills and experience, we encourage you to apply for this position. Join our team and contribute to the success of Cherry County Clinic!
Requirements :
Minimum Job Requirements :