(1) Insurance/Billing SpecialistM-Th: 8a-5p or 8:30a-5:30p, flexibleFri: closes at 12:30p(Clinic is open 8a 6p daily)Approximately 36 - 40 hrs/wk - w/ 1 Hr LunchTemp to Perm$15-$20, DOEJob Description:The primary responsibility of the Insurance/Billing Specialist at this company is to successfully oversee patients' accounts, collect balances, and uphold a high level of insurance expertise. Their primary purpose is to be an integral team member in a pediatric speech-language pathology private practice dedicated to completing the circle of care for children by improving their communication skills and quality of life. Key Responsibilities:
- Maintain a high level of care, compassion, and professionalism when interacting with all inquiring and existing patients/families, as well as team members.
- Maintain a high level of insurance knowledge and capability to explain this to others.
- Navigate Electronic Medical Records system and insurance clearinghouse.
- Obtain necessary insurance authorizations and insurance benefit verifications to initiate and maintain service via electronic verification systems and/or calling insurance companies.
- Educate families about benefits, costs, and responsibilities in a professional and compassionate manner.
- Handle insurance claims, denials, and payment issues.
- Answer patient billing questions in a caring and professional manner.
- Investigate denied or rejected claims, review EOBs (Explanation of Benefits), and work with insurance companies and/or patients for resolution.
- Create and submit appeals when necessary.
- Properly document insurance information and communication in the necessary areas of patient charts
- Continuously look for ways to streamline insurance-related processes and maintain up-to-date contact information for insurance providers.
- Regularly review and address inquiries, emails, and phone messages.
- Make calls to patients' families to discuss account balances in a respectful manner.
- Enter deposits in a checkbook ledger, reconcile bank deposits, and assist with collections.
- Obtain NPI numbers, assist therapists with credentialing, maintain staff credentialing records, and manage insurance provider applications.
- Assist front desk staff with patient services as needed.
- Organize and scan inactive patient files, employee files, and business records.
- Perform clerical work such as filing, copying, and faxing.
- Maintain and submit personal leave and payroll records.
- Comply with the policies and procedures.
- Participate in any task that is in line with the mission.
- Participate in staff meetings and ensure professional conduct.
Dress code: Business casual - Black Scrubs & closed toed shoesRequirements: HSDMust have a clear Drug Screen & BackgroundEssential Skills and Qualities:
- Positive, professional, and confident personality.
- Proven work experience in billing, accounts receivable, and insurance processes.
- Working knowledge of Google Suite.
- Attention to detail, problem-solving abilities, and creative thinking.
- Strong communication and organizational skills.
- Strong ability to develop and foster positive relationships with co-workers and clients.
- Working knowledge of office management and filing systems.
- Flexibility, punctuality, and adaptability in a fast-paced environment.
- Strong sense of responsibility, ability to maintain confidentiality, and desire to provide positive customer service.
- Enjoy working with families and children.
This role plays a crucial part in ensuring seamless coordination between insurance processes, patient care, and administrative functions, ultimately contributing to the overall mission. Job Type: Temp to Hire Post Date: 10/09/2024