Medical Insurance Collection Specialist

false false false EN-US X-NONE X-NONE MicrosoftInternetExplorer4 SUMMARY :

Follow up on claims submitted to insurance companies by phone, status inquiry letters or via the web. Process explanations of payments received from insurance companies and patients. Work task sent by the payment posters on incorrect or denied payments by the insurance companies. Submit appeals to insurance companies for claims either denied in error or not processed correctly. Work rejected claims on the electronic claims tracking system. Receive incoming calls to assist patients in understanding their account statements and the status of their charges. Update patient demographics and / or insurance plans via Intergy. Work guarantor balances by taking payments over the phone and issuing credit card payment plan. May perform other job related duties as necessary for the efficient operation of SDMI.

MINIMUM SKILLS, ABILITY AND REQUIREMENTS :

• High school graduate or equivalent.
• 3-5 five years medical insurance collection experience.
• Intergy experience preferred but not necessary.
• Skill in organizing time to accommodate changes in workload and assignments in order to complete tasks in a timely manner.
• Skill to pay attention to details and accuracy in completing tasks.
• Awareness of responsibility to protect patient information.
• Responds positively to changes in assignments and priorities.
• Any employee who discovers, is directly involved in or is responding to an event / occurrence / risk is required to complete or direct the completion of an occurrence report within 24 hours of event / occurrence / risk.
• My job performance, including current competencies will be reviewed by my supervisor on a periodic basis. If my job performance / current competencies are not (or continue to not be) at required level this could result in additional training and / or disciplinary action.
• Works as an effective team member with co-workers and other personnel.
• Able to identify hazardous material in immediate work area.
• Must know fire and evacuation plan and electrical safety.
• Understands the Nevada Right to Know Law and complies with Universal Protection standards.
• Willingly participates in cross-training activities within the department in for own professional growth in order to contribute to the overall function of SDMI.
• Assumes responsibility for updating knowledge of current SDMI department policies and procedures, protocol and practices.
• Demonstrates punctuality by reporting to work on time / satisfactory attendance record that complies with SDMI attendance policy.
• Takes full responsibility for all functions within job description and assures that all functions are completed before leaving SDMI at the end of the shift. Communicates effectively when follow up is needed.
• Other duties as assigned.

All Employees agree to comply with all privacy and security standards as set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA) as outlined by my employer. I will make every effort to protect our patient's health information and confidentiality as well as abide by all aspect of Public Law 104-191. I will treat all information received in the course of my employment with SDMI, which relates to the patients of the provider, as confidential and privileged information and will not disclose information regarding SDMI's patients to any person or entity, other than as necessary to perform my job, and as permitted under SDMI's HIPAA policies. I will safeguard my computer password and will not post it in a public place, such as the computer monitor or a place where it will be easily lost, such as on my nametag. (initials _____)

THE ESSENTIAL ELEMENTS OF THE POSITION REFLECT THE MAJOR DUTIES CONSIDERED NECESSARY TO DESCRIBE PRINCIPAL FUNCTIONS OF THE POSTION AND SHALL NOT BE CONSTRUED AS A DETAILED DESCRIPTION OF ALL OF THE WORK REQUIREMENTS THAT MAY BE INHERET IN THE POSITION.

N (Not Applicable)

Activity is not applicable to this occupation.

O (Occasionally)

Occupation requires this activity up to 33% of the time (0 - 2.5 hrs / day)

F (Frequently)

Occupation requires this activity from 33% - 66% of the time (2.5 - 5.5 hrs / day)

C (Constantly)

Occupation requires this activity more than 66% of the time (5.5 hrs / day)

Physical Abilities

Lift / Carry

Stand

O (Occasionally)

10 lbs or less

O (Occasionally)

Walk

O (Occasionally)

11-20 lbs

O (Occasionally)

C (Constantly)

21-50 lbs

N (Not Applicable)

Handling / Fingering

O (Occasionally)

51-100 lbs

N (Not Applicable)

Reach Outward

O (Occasionally)

Over 100 lbs

N (Not Applicable)

Reach Above Shoulder

O (Occasionally)

Push / Pull

Climb

N (Not Applicable)

12 lbs or less

O (Occasionally)

Crawl

N (Not Applicable)

13-25 lbs

O (Occasionally)

Squat or Kneel

O (Occasionally)

26-40 lbs

N (Not Applicable)

Bend

O (Occasionally)

41-100 lbs

N (Not Applicable

STEINBERG DIAGNOTIC MEDICAL IMAGING EXPRESSLY RESERVES THE RIGHT TO CHANGE, MODIFY OR AMEND THIS JOB DESCRIPTION AT ANY TIME.

I acknowledge and understand that :

Receipt of the job description does not imply nor create a promise of employment, nor an employment contract of any kind, and that my employment is at-will.

I know of no limitations which would prevent me from performing these functions with or without accommodation. I further understand that it is my responsibility to inform my supervisor at any time that I am unable to perform these functions.

Job duties, tasks, work hours and work requirements may be changed at any time.

Acceptable job performance includes completion of the job responsibilities as well as compliance with the policies, procedures, rules and regulations of Steinberg Diagnostic Medical Imaging.

I must be able to pass a background check and have no CMS disqualifying events.

I have read and understand this job description.

Print Name / Employee Signature Date