What are the responsibilities and job description for the Insurance Billing Specialist position at Circle of Life?
This position is scheduled to Monday - Friday 8-4:30. This positions is primarily based in an office setting with occasional WFH abilities.
Required Knowledge and Skills: Strong data entry / typing skills and computer skills. Possess outstanding problem solving skills; written and verbal communication skills; and the ability to work independently without much supervision. Demonstrated ability to make outbound calls confidently while presenting excellent verbal and written communication skills. Strong communications skills; ability to listen attentively and to communicate clearly and effectively. Strong technical skills including proficiency with Microsoft Office. Excellent problem-solving skills. Strong customer service skills along with telephone etiquette as well as knowledge with EMR and medical billing software.
Specific Duties And Position Requirements
Required Knowledge and Skills: Strong data entry / typing skills and computer skills. Possess outstanding problem solving skills; written and verbal communication skills; and the ability to work independently without much supervision. Demonstrated ability to make outbound calls confidently while presenting excellent verbal and written communication skills. Strong communications skills; ability to listen attentively and to communicate clearly and effectively. Strong technical skills including proficiency with Microsoft Office. Excellent problem-solving skills. Strong customer service skills along with telephone etiquette as well as knowledge with EMR and medical billing software.
Specific Duties And Position Requirements
- Prepares and submits clean claims to private insurance payers and Medicaid each month.
- Obtains prior authorizations for services, when applicable.
- Research denied claims and resubmits as appropriate for payment
- Actively tracks and monitors any circumstances impacting timely processing of accounts receivables and notifies Revenue Cycle Manager as needed.
- Analyzes and reviews reporting to meet or exceed collection goals
- Tracks and posts payments into EMR.
- Posts adjustments and processes refunds.
- Researches potential sources of payment for indigent or other unpaid claims
- Maintains current knowledge of private insurance and Medicaid billing guidelines.
- Manages inquiries from patients, patient representatives, and insurance payers.
- Issues adjusted, corrected, and/or rebilled claims to private insurance payers and Medicaid.
- Reviews accounts and makes recommendations to the Rev. Cycle Manager on delinquent or non-collectible accounts.
- Communicate/correspond with office personnel to ensure accuracy of data entry, billing and relevant documentation
- Creating and distributing various financial reports and billing statements as needed
- Demonstrates compassion, empathy, and patience when interacting with patients, families, co-workers, and members of the public.
- Represents Circle of Life to the community in a positive manner.
- Demonstrates flexibility, versatility and a positive attitude in integrating additional duties.
- Performs other duties as assigned.
