Insurance A/R Job Posting
Description:
We are seeking an Insurance Accounts Receivable Specialist who will review and satisfy billing edits, charge information, private or government insurance benefits, and other related information from multiple billing and documentation servers while resolving account balance. Proactively identify opportunities to improve business results and/or to alert business units of trends, anomalies or health plan rules and decisions, etc. that need attention. Escalate unresolved issues appropriately, quickly and recommend solutions to minimize future problems. Must be able to meet primary productivity and performance standards. Make appropriate decisions on account activity consistent with approved authority levels.
In this position you will have the following responsibilities:
- Regularly meet with Billing Manager to discuss and resolve reimbursement issues or billing obstacles
- Make necessary arrangements for medical records requests, completion of additional information requests, etc. as requested by insurance companies
- Daily submissions of commercial insurance billing and invoices with a goal of zero errors
- Verify completeness and accuracy of all claims prior to submission
- Timely follow up on insurance claim denials, exceptions or exclusions
- Meet deadlines
- Reading and interpreting insurance explanation of benefits
- Utilize monthly aging accounts receivable reports to follow up on unpaid claims
- Make necessary arrangements for medical records requests, completion of additional information requests, etc. as requested by insurance companies
- Perform additional duties as requested by Supervisory or Management team
Required skills for this position include:
- Stellar Customer Service Skills
- Superb verbal and written communication skills
- Exceptional interpersonal skills
- Keen math aptitude
- Strong attention to detail and exceptional drive toward meeting deadlines
- Excellent organizational skills
- Effective problem-solving skills
- Ability to work independently
- Ability to multi-task and work courteously and respectfully with fellow employees, clients and patients
- Computer experience is essential, including, but not limited to: practice management software, Microsoft Word & Excel applications. eClinicalWorks experience is helpful but not required
- Experience in CPT and ICD-10 coding; familiarity with medical terminology
- Ability to manage relationships with various patients and Insurance payers
- Experience in filing claim appeals with insurance companies to ensure maximum entitled reimbursement
- Flexibility in prioritizing tasks
- Ability to produce high quality work under strict deadlines
- Responsible use of confidential information
- Perform to company standards of compliance with policies and procedures
- Qualifications:
- 2-5 years of healthcare experience with billing or insurance verification required
- Basic understanding of insurance terminology (out-of-network benefits vs. in-network benefits, as well as coinsurance, co-pays and deductibles), in addition to general billing practices
- Knowledge and experience with EMR and billing software programs required
- Knowledge and experience with eClinicalWorks software a plus
- Exemplary skill with Microsoft Office Suite, Adobe, and willingness to learn and master relevant clinical and billing software
- Applicants must pass a national and local background check and credit check and drug screen
Some of the benefits of working at Family Health Clinic:
- Working as part of compassionate and collaborative team
- Competitive salary commensurate with experience level
- Paid Time Off
- Medical, dental, vision, accident, life, cancer, hospital/intensive care, critical care, short-term and long-term disability, insurance options
- 401(k)
Job Type: Full-time
Pay: From $16.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
Work Location: In person