INSURANCE AND BILLING

Key Responsibilities

• Claim Submission: Prepare and submit accurate insurance claims to various insurers, ensuring all medical billing codes and documentation are correct.
• Eligibility Verification: Review patient information to confirm insurance coverage and eligibility before services are rendered or claims are submitted.
• Payment Monitoring: Track the status of submitted claims, monitor payments from insurance companies, and generate billing statements for patients.
• Denial Resolution: Investigate and resolve claim denials, discrepancies, and billing issues by communicating with insurance providers and healthcare staff.
• Record Maintenance: Maintain updated and accurate patient billing records, financial statements, and account information.
• Patient Interaction: Answer patient billing inquiries, clarify concerns, and offer payment solutions or arrangements.
• Compliance: Ensure all billing practices adhere to relevant healthcare regulations, privacy standards (like HIPAA), and insurance guidelines.

Key Skills and Qualifications

• Technical Skills: Proficiency with medical billing software and systems, strong data entry skills, and familiarity with productivity software like Microsoft Excel.
• Knowledge: In-depth understanding of medical terminology, ICD-10 and CPT codes, and various insurance plans.
• Analytical Skills: Ability to analyze billing trends, resolve discrepancies, and identify opportunities to improve payment processes.
• Communication Skills: Excellent verbal and written communication skills for interacting with patients, insurance companies, and healthcare professionals.
• Attention to Detail: High level of accuracy is crucial for handling sensitive financial and patient data.
• Organizational Skills: Ability to manage multiple tasks, meet deadlines, and maintain organized records in a fast-paced environment.

Job Type: Full-time

Work Location: In person