Insurance Specialist, Revenue Cycle

🕒 il y a 4 mois

🐎 Kentucky – Distant

🐎 Kentucky – Remote

⏰ Temps Plein

🟢 Junior

🟡 Intermédiaire

🔒 Assurance

🚫👨‍🎓 Aucun diplôme requis

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Seven Counties Services

Site WebLinkedInTous les Emplois

1001 - 5000 employés

⚕️ Assurance santé

🤝 À but non lucratif

Healthcare Insurance • Non-profit

Seven Counties Services est un Centre de Santé Mentale Communautaire de premier plan et un prestataire de services de santé comportementale dans le Kentucky, desservant des individus et des familles dans les comtés de Bullitt, Henry, Jefferson, Oldham, Shelby, Spencer et Trimble. Ils offrent une large gamme de services incluant le soutien en santé mentale, des programmes de rétablissement de la dépendance, des services de développement et la stabilisation en situation de crise. L'organisation s'engage à fournir des soins de qualité et des services de santé, en assurant une approche positive adaptée aux besoins individuels, quels que soient le milieu ou la situation financière. De plus, Seven Counties Services met l'accent sur l'équité, la diversité et l'inclusion dans ses programmes et initiatives, s'efforçant continuellement d'améliorer la vie de ceux qu'ils servent.

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

🎯 Exigences

• 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.

🏖️ Avantages

• COVID and Influenza vaccinations required for all employees