What are the responsibilities and job description for the Laboratory Insurance Specialist position at MMClinic?
Laboratory
Job Title: Insurance Specialist
Objective: Primary objective is to provide administrative support within the Department, and or Clinic-wide when requested, adhere to all policies and procedures of Murfreesboro Medical Clinic and meet the needs of our patients in a teamwork approach.
Job responsibilities
High school diploma or GED required. Experience of at least one year in medical billing required.
Skills/Abilities
Office setting with possible exposure to communicable diseases
Physical/ Mental Demands
Varied activities including sitting, walking, bending, reaching, lifting and stooping. Ability to lift
35 pounds. Stress with multiple responsibilities.
Department Standards
All representatives of the Laboratory are expected to:
1) Promote an image of professionalism
2) Perform all duties in a timely and efficient manner
3) Focus primarily on providing excellent customer service to our patients
4) Demonstrate dependability and reliability through attendance
This description is intended to provide only basic guidelines for meeting job requirements.
Responsibilities, knowledge, skills, abilities and working conditions may change as needs
evolve.
Job Title: Insurance Specialist
Objective: Primary objective is to provide administrative support within the Department, and or Clinic-wide when requested, adhere to all policies and procedures of Murfreesboro Medical Clinic and meet the needs of our patients in a teamwork approach.
Job responsibilities
- To have a positive attitude and practice teamwork
- Meet or exceed patient, doctor, and staff expectations through a cooperative teamwork approach
- Prepare ABNs prior to lab draw
- Assist patients with all insurance issues and billing issues as required by the insurance company and the financial guidelines of the Clinic
- Assist with demographic updates, as well as all other duties of the department
- Verify eligibility of all patients and handle all billing issues and refiling of insurance claims as needed.
- Take all steps necessary to make sure a claim is clean and can be processed by the insurance company in a timely manner.
- Assist patients with payment plans
- Be knowledgeable of and adhere to all MMC policies and procedures
- Accurately utilize Athena Centricity system and client information systems
- Work with patients and insurance payers to promptly resolve pending claims
- Accurately review accounts in practice management system and take appropriate action
- Review EOB’s, remits and payer correspondence in the course of performing account follow-up and escalate any identified issues to the appropriate area for review and response to expedite claim resolution
- Document in the patient record to identify actions taken on the account
- Maintain required productivity and QA standards
- Accurately respond to priority follow-up requests
High school diploma or GED required. Experience of at least one year in medical billing required.
Skills/Abilities
- Ability to handle multiple tasks at one time, ability to be flexible
- Ability to utilize computer systems for the purpose of completing assigned tasks
- Ability to follow detailed instructions
- Skills in communicating effectively with co-workers, providers and patients
- Skill in effectively role modeling appropriate behavior
- Ability to maintain and effective working relationship with patients, providers and co-workers
- Ability to plan, organize and prioritize assignments and meet deadlines as required
Office setting with possible exposure to communicable diseases
Physical/ Mental Demands
Varied activities including sitting, walking, bending, reaching, lifting and stooping. Ability to lift
35 pounds. Stress with multiple responsibilities.
Department Standards
All representatives of the Laboratory are expected to:
1) Promote an image of professionalism
2) Perform all duties in a timely and efficient manner
3) Focus primarily on providing excellent customer service to our patients
4) Demonstrate dependability and reliability through attendance
This description is intended to provide only basic guidelines for meeting job requirements.
Responsibilities, knowledge, skills, abilities and working conditions may change as needs
evolve.
