Patient Insurance Specialist

Job not on LinkedIn

🔥 10 minutes ago

🇺🇸 United States – Remote

💵 $16 - $19 / hour

⏰ Full Time

🟢 Junior

🔒 Insurance

🚫👨‍🎓 No degree required

Where this job comes from

Posted on EMS Management & Consultants, Inc.'s careers page ↗EMS Management & Consultants, Inc.'s careers page, not through a job board

First seen by Remote Rocketship 10 minutes ago

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Logo of EMS Management & Consultants, Inc.

EMS Management & Consultants, Inc.

501 - 1000 employees

💼 Consulting

🏥 Healthcare

⚕️ Healthcare Insurance

Consulting • Healthcare • Healthcare Insurance

EMS Management & Consultants, Inc. (EMS|MC) is a company that specializes in providing comprehensive operational solutions for over 1,500 emergency medical services (EMS) providers across the United States, including hospital systems, municipalities, and private companies. Founded by professionals within the EMS industry, EMS|MC offers services designed to optimize reimbursement, resources, and regulatory compliance. With more than 25 years of experience, the company leverages technologies like EMsmart, a SaaS-driven billing solution, to enhance revenue performance for EMS agencies. EMS|MC also works closely with the PWW Advisory Group to ensure compliance with the ever-changing regulatory landscape, providing tools and educational resources to EMS providers.

📋 Description

• Enter patient demographic and insurance data from EPIC and/or other hospital billing software into EMS|MC billing software • Search and verify patient insurance through various insurance websites to maximize reimbursement • Update patient insurance and demographic information from multiple databases • Follow patient-matching standards to prevent inaccurate updates • Provide feedback to the Claims Management Supervisor regarding deficiencies, variances, and billing issues • Process assigned pending and rejected claims accurately and timely • Maintain internal customer service relationships and address client needs • Meet or exceed client service-level agreements for turnaround times and compliance • Perform additional hospital-data assignments, special projects, and meetings as directed • Provide backup assistance to Coding Specialist, Revenue Cycle Specialist, and Customer Service departments • Maintain performance standards including contracted SLAs, A/R aging, net collection percentages, and average cash per trip

🎯 Requirements

• High School Diploma • At least one-year experience in health care office, production, or clinical environment or comparable classroom experience • Strong comfort level learning new computer programs and software at a rapid pace • Self-motivated, goal oriented, and takes ownership of work • Ability to learn, understand and work within specific client requirements • Ability to learn, understand and apply applicable HIPAA, Medicare, Medicaid, insurance, and liability regulations/guidelines • Willing and able to adapt to changes in work environment, procedures, priorities, and job duties • Willing and able to receive positive and negative feedback and apply it appropriately and effectively • Strong internal customer service skills • Good verbal and written communication skills • Positive interpersonal skills and ability to function within a cross-functional team setting and independently • Detail oriented with strong desire for accuracy • Ability to manage time and maintain focus, concentration, and productivity while performing repetitive work • Strong, accurate data entry skills • Applicants must be authorized to work in the United States now and in the future • This role does not offer current or future visa sponsorship

🏖️ Benefits

• Discretionary bonus plan • Comprehensive benefit package • Retirement plan • Health coverage • Paid time off • Reasonable accommodations for qualified individuals with disabilities

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