Billing and Insurance Specialist

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Logo of HFMA Texas Gulf Coast Chapter

HFMA Texas Gulf Coast Chapter

1001 - 5000 employees

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📋 Description

• Review details of an account to determine if insurance was previously filed and determine if claims filing is necessary. • Clear documentation of account findings and ensure the account is pushed through the designed workflow. • Communication with clients regarding claims updates on payments, adjustments, or denials. • Ability to work in client systems to confirm accounts are being handled accordingly by our providers. • Eligibility review through online portals. • Audit non-insurance desks for accounts that should have been reviewed by the insurance team. • Knowledge of carrier-specific timely filing for the claims process and eligibility requirements. • Ability to communicate with insurance carriers and identify claim issues. • Ability to communicate with patients on their involvement to ensure claims can be paid. • Daily accounts worked requirements min. 125

🎯 Requirements

• 3 or more years’ experience handling medical claims follow-up and eligibility • Microsoft Excel and general computer/office skills • Motivated, efficient, and logical • Excellent time management • Critical thinking skills • Ability to type 60 WPM or more

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