Iowa Radiology is a patient-centered practice that promotes a compassionate approach to medicine. They are seeking a Customer Service Support Specialist/Follow-up to assist patients with inquiries, update account information, and investigate outstanding claims with insurance companies.
Responsibilities:
- Assist patients with inquiries on their accounts through inbound telephone calls, written correspondence, emails and voicemails
- Update insurance and demographic information for patients within our account receivable system. Updates may be received from a variety of sources such as phone, email, and traditional mail
- Document all actions taken on an account
- Process credit card payments through the merchant processing system
- Provide price quotes and billing expectations for upcoming appointments
- Work with patients to set up amicable payment plans and help them execute payment methods to ensure timely payments
- Investigate outstanding claims with insurance companies from the outstanding tickler queue in the billing system. Follow-up should be completed by searches via the company’s websites or other payer portals when available. Take the necessary actions to resolve the account
- Update insurance and demographic information as updates are received from a variety of sources
- Document all actions taken on an account
- Provider credit balance information to the refund department when necessary
- Provide payment posters with documentation to post insurance responses when appropriate
- Review return mail from patients and insurance companies; research and take necessary actions based on protocols
- Review, document, distribute, resolve, and scan any misc. correspondence from incoming mail or fax
- Investigate electronic claim rejections and take necessary actions to resolve these issues
- Review Health insurance claim forms and attached information for accuracy
- Work probate estate claims on deceased accounts
- Review electronic claim rejections from payers. Research rejection message, make necessary changes and rebill the services
- Review pre-eligibility checks, verify if suggested charges are appropriate, and make necessary changes
- Work with clinic staff when billing and balance inquiries take place in the patient-facing clinics
- Scan and index documentation into the document management system
- Work as a contributing and collaborative team member with others in the billing office to complete billing processes timely, effectively, and efficiently
- Attend all staff meetings and education workshops/training and notify Billing Manager of any questions/training needed to perform the role
- Report any issues relating to staffing, morale, work methods, and procedures to the Billing Manager in a timely manner
- Performs other duties as assigned
Requirements:
- High school diploma or equivalent GED required
- Must be able to read, write, and speak English fluently
- Minimum of two (2) years of billing and insurance experience
- Experience with email, internet, and Microsoft office products
- Ability to communicate effectively with both internal team members and external customers
- Excellent organizational skills and the ability to multi-task and make quick but accurate decisions
- Continuous speaking, hearing, and visual effort
- Must have the ability to communicate effectively and work independently
- Continuous mental and visual concentration requiring attention-to-detail and accuracy
- Working conditions are typical to a normal office or individual home office environment
- Must possess manual dexterity to operate computer and other office equipment
- Ability to perform repetitive tasks associated with technology use (phone, computer, applications, and software)
- Must be able to bend, stoop, kneel, or crouch as part of job functions
- Ability to lift and carry up to twenty-five (25) pounds when necessary
- Knowledge of procedure codes, diagnosis, and insurance specifications preferred