Position Summary:
To lend support to the finance team in areas of collections, and special projects.
Essential Functions:
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Collect insurance data from patients and physician practices for insurance claim submission.
- Enter pertinent data into Finance system for purpose of generating insurance claims
- Locate and make use of insurance websites for purpose of settling unresolved insurance claims
- Process insurance appeals based on low pays and/or denials
- Perform all phases of insurance follow-up for the purpose of obtaining insurance payment.
- Multi-task with the ability to prioritize time sensitive accounts.
- Strong phone skills to include incoming/outgoing calls from patients, insurance companies, and customers with regard to patient accounts.
- Knowledge of CPT & diagnosis codes, LCD/ NCD and payer medical policy guidelines
- Ability to review and research denial reasons for corrective measures.
- Retrieve and re-file documents for audits or Insurance request.
- Research incorrect patient addresses and update as needed.
- Compile information & spreadsheets for attorney follow-up
- Performs all other duties as assigned
Supervisory Responsibility
This position has no supervisory responsibilities.
Required Education and Experience
- Minimum of 3 years administrative or healthcare experience with direct customer contact, computer literate with focus on education or training
- Excellent customer service skills, proficient in database and data entry, excellent organizational skills, general office equipment skills
- HS Diploma; college preferred
- Fluent English, both written and spoken. Second language a plus. Excellent writing skills
- Microsoft Office (Word, Excel, Power Point (Access exp.+), Teams, Sharepoint
- Ability to multitask and prioritize.
- Aptitude for learning new software programs and concepts, team player
- Remote work
- Must be able to sit for long periods of time while using the computer and phone extensively.
