CommunicationCritical ThinkingTime ManagementRemote Work
About this role
Role Overview
Submit electronic and hard copy billing and conduct follow up with third party carriers for insurance claims
Investigate and coordinate insurance benefits for insurance claims across multiple service lines
Obtain claim status via the telephone, internet, and/or fax
Review and understand eligibility of benefits
Resolve accounts as quickly and accurately as possible, obtaining maximum reimbursement, and perform investigative and follow up activities in a fast-paced environment
Conduct research, contact patients, and the local affiliates to include VA, Hospitals, and insurance carriers
Handle incoming and outgoing mail, scanning, and indexing documents and handling any other tasks that are assigned
Research and verify insurance billing adjustment identification to ensure proper account resolution and act when necessary
Identify contractual and administrative adjustments
Work independently or as a member of a team to accomplish goals
Demonstrate excellent customer service, communication skills, creativity, patience, and flexibility
Follow established organization guidelines to perform job functions while staying abreast to changes in policies
Correspond with hospital contacts professionally using appropriate language while following the specific facility and department protocol
Uphold confidentiality regarding protected health information and adhere to HIPPA regulation
Interact with all levels of staff
Cross train in multiple areas and perform all other duties as assigned by management
Requirements
Active listening
Ability to multi-task
Exceptional phone etiquette
Strong written and oral communication skills
Effective documentation skills
Strong organizational skills
Service orientation
Reading comprehension
Critical thinking
Social perceptiveness
Time management and reliable attendance
Fast learner
2 or more years of experience of hospital billing, insurance follow-up, denials, or appeals preferred
High School Diploma or equivalent, Bachelor's degree preferred, or equivalent combination of education, training, and experience
Remote work experience preferred
Benefits
Unlimited opportunities for advancement
Full benefits package including health, dental, vision, and life insurance upon hire