What are the responsibilities and job description for the Medical Billing Insurance Specialist position at HH Health System- The Orthopaedic Center?
Responsibilities MAY Include, BUT ARE NOT Limited TO:
- Billing private insurance/secondary using computerized billing program and check billing logs for completion/errors.
- Enter billing charges, ICD- 10 codes
- Verify patients’ insurance coverage
- Manage assigned workflows to include follow up on status of claims, denials and appeals for timely receipt of payment
- Contact insurance companies regarding denied claims
- Send appeals to insurance companies with appropriate documentation.
- Contact insurance companies and patients with questions related to billing
- Answer billing inquiries from patients, staff, customers and insurance companies and resolve complaints
- Assist with other duties including processing copayments, payment posting, reconciliation
- Correct and resubmit claims after confirming transmission errors with the payer
- Other duties as assigned
Skills AND Qualifications:
- Commercial, Work comp, VA, Tricare, Medicare and Medicaid payor knowledge. 1 year (Preferred)
- Working knowledge of medical billing with minimum 1-2 years insurance collections experience
- Excellent customer service skills
- Critical thinking on every aspect of claim submission
- Ability to compose effective appeals
- Ability to work independently and as part of a team
- Ability to work in a fast paced, expanding organization
- Proficient with EMR/PM systems, Microsoft Word, Excel, billing software, 10-key, ICD-10 coding, and medical terminology
- Demonstrated proficiency with productivity software (Microsoft Office & Excel)
- Experience with HIPAA and compliance-sensitive environments
- Strong attention to detail, and ability to collaborate independently and within a team
- Position is located on-site, not a remote position
Experience:
- Medical Billing: 1 year(Preferred)
