Insurance Specialist, Revenue Cycle

🕒 Fevereiro 17

🐎 Kentucky – Remoto

🐎 Kentucky – Remote

⏰ Tempo Integral

🟢 Júnior

🟡 Pleno

🔒 Seguros

🚫👨‍🎓 Sem graduação necessária

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Seven Counties Services

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

⚕️ Seguro de Saúde

🤝 Sem Fins Lucrativos

Healthcare Insurance • Non-profit

A Seven Counties Services é um centro comunitário líder em saúde mental e prestadora de serviços de saúde comportamental em Kentucky, atendendo indivíduos e famílias nos condados de Bullitt, Henry, Jefferson, Oldham, Shelby, Spencer e Trimble. Oferecem uma ampla gama de serviços, incluindo suporte à saúde mental, programas de recuperação de dependência, serviços de desenvolvimento e estabilização em crise. A organização está comprometida em proporcionar cuidados e serviços de saúde de qualidade, garantindo uma abordagem positiva adaptada às necessidades individuais, independentemente de origem ou condição financeira. Além disso, a Seven Counties Services enfatiza a equidade, diversidade e inclusão em seus programas e iniciativas, buscando continuamente melhorar a vida daqueles que atendem.

Descrição

• Completes information on insurance forms • Completes 1500 HCFA insurance for specifications required by insurance companies to allow for timely payment • Maintains a workable knowledge regarding specifications in billing Medicare, Medicaid, Tricare and Commercial • Monitors 1500 for demographic, CPT and charge accuracy • Monitors current fee schedule and recommends as necessary, in compliance with state and federal law • Assists insurance companies inquiring about accounts relative to insurance benefits deposition • Demonstrates knowledge of the personal computer and applicable keystrokes in the electronic transmission of claims • Follows up on unpaid claims for both insurance and patients via phone, fax or mail • Identifies overpayments on patient accounts and initiates refund and adjustment process in accordance with internal controls • Maintains strict patient confidentiality • Performs special assignments as required • Researches line item EOB’s for incorrect payment levels and works directly with insurance companies for assurance of benefits and correct reimbursement through oral and written communication • Communicates with the AR Manager regarding problem areas • Maintains knowledge of Corporate Compliance issues pertaining to daily work

🎯 Requisitos

• High school graduate or equivalent required • Productive typing ability equivalent to 30 w.p.m. required • Considerable skill in interpersonal communications and the ability to work well with others as a team required • Ability to keep accurate financial records and perform mathematical tasks required • Knowledge of medical terminology, ICD-10 and CPT coding required • Knowledge of E/M procedural coding preferred • Computer knowledge required • Knowledge of Windows preferred • Minimum of two years of experience in a medical billing environment working with insurance and patient claims processing required.

🏖️ Benefícios

• COVID and Influenza vaccinations required for all employees