Overview:
Under general supervision, the Insurance Billing Specialist is responsible for a variety of tasks relating to claims processing, collections & account follow-up. The Insurance Billing Specialist also contacts insurers, third-party administrators and responsible parties to resolve accounts issues.
Responsibilities:
- Ensures all levels of insurer / governmental claims have been filed and are paid in a timely manner
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Investigates, corrects errors, and resolves all past-due accounts
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Communicates with insurers / governmental agencies representing LifeLinc
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Answers inquiries by phone and/or email from patients and/or payors regarding billed information related to payor policies
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Working Accounts Receivable weekly - starting with the most aged accounts – and has the ability to file reconsiderations and appeals with insurers / governmental agencies
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Works all claim denials and report all trends and issues to team leads
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Performs other duties as assigned
Qualifications:
- High school diploma or General Education Degree (GED)
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Two years or more experience in healthcare revenue cycle, denials management, revenue integrity, medical records, follow-up, hospital business office or physician practice office. Candidates with CBO experience are preferred
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Knowledge of & experience with health care information system technology
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Understanding of healthcare care billing & revenue cycle operations
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Proficient in all Microsoft Office applications
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Analytical strengths and attention to detail
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Familiarity with CPT-4 and ICD-10 coding
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Excellent computer skills
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10-key by touch