Seven Counties Services
1001 - 5000 employees
⚕️ Healthcare Insurance
🤝 Non-profit
Healthcare Insurance • Non-profit
Seven Counties Services is a leading Community Mental Health Center and behavioral health services provider in Kentucky, serving individuals and families across Bullitt, Henry, Jefferson, Oldham, Shelby, Spencer, and Trimble counties. They offer a wide range of services including mental health support, addiction recovery programs, developmental services, and crisis stabilization. The organization is committed to providing quality care and health services, ensuring a positive approach tailored to individual needs, regardless of background or financial status. Additionally, Seven Counties Services emphasizes equity, diversity, and inclusion in their programs and initiatives, continually striving to improve the lives of those they serve.
Insurance Specialist, Revenue Cycle
🕒 February 17
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Seven Counties Services
1001 - 5000 employees
⚕️ Healthcare Insurance
🤝 Non-profit
Healthcare Insurance • Non-profit
Seven Counties Services is a leading Community Mental Health Center and behavioral health services provider in Kentucky, serving individuals and families across Bullitt, Henry, Jefferson, Oldham, Shelby, Spencer, and Trimble counties. They offer a wide range of services including mental health support, addiction recovery programs, developmental services, and crisis stabilization. The organization is committed to providing quality care and health services, ensuring a positive approach tailored to individual needs, regardless of background or financial status. Additionally, Seven Counties Services emphasizes equity, diversity, and inclusion in their programs and initiatives, continually striving to improve the lives of those they serve.
📋 Description
• 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
🎯 Requirements
• 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.
🏖️ Benefits
• COVID and Influenza vaccinations required for all employees
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