Billing and Insurance Specialist | 40 hours per week | Patient Financial Services

Southeast Iowa Regional Medical Center•West Burlington, IA

20d•$19

About The Position

A Brief Overview Coordinates and assists in the reimbursement for services provided. Accurately files insurance claims for the purpose of settling claims with insurance carriers. Resolves discrepancies in accounting records, resolves credits, verifies accuracy of all billing data, and corrects identified errors. Handles electronic billing functions which includes electronically filing claims and maintaining the electronic filing system. Prepares itemized statements, bills, or invoices; and records amounts due for services rendered. Keeps records of supporting documents. Contacts patient to obtain or relay account information. Collect information from policyholders to verify accuracy of information on claim forms, company records, and related documents. Update existing policies and company records to reflect requested changes from policyholders and insurance company representatives. Follows-up on outstanding accounts, making proper notations in the billing software. Work denials, follow appeal processes, and refile claims following through to completion. Investigate and resolve any billing discrepancies or insurance-related issues, working closely with insurance providers, patients, and internal teams. Maintain knowledge of current government and/or carrier regulations relevant to industry. Performs data entry, adding, calculating, and operation of computers, equipment, and billing software.

Requirements

H.S. Diploma or General Education Degree (GED) Required
1-3 years Experience working with computers Required
Knowledge of principles and processes for providing customer service. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.
Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, designing forms, and other office procedures and terminology.
Knowledge in Microsoft Office including Word, Excel, and Outlook
Knowledge to use electronic equipment and computer applications specific to the job.
Possesses excellent time management and organizational skills.
Possesses problem solving skills
Ability to communicate effectively and document information accurately.
Communicating effectively in writing as appropriate for the needs of the audience.
The ability to read and understand information and ideas presented in writing.
Ability to maintain confidentiality and discretion.
The ability to communicate information and ideas in speaking so others will understand.
The ability to listen to and understand information and ideas presented through spoken words and sentences.
The ability to speak clearly so others can understand you, as well as the ability to read, write and understand the English language.
Knowledge of arithmetic.

Nice To Haves

1-3 years Customer service experience Preferred
1-3 years General office or clerical experience. Preferred

Responsibilities

Prepare insurance claim forms and related documents and review them for accuracy and completeness.
Follow-up on rejected, unpaid and denied claims until claims are paid or only self-pay balance remains.
Investigate and resolve any billing discrepancies or insurance-related issues, working closely with insurance providers, patients, and internal teams.
Reconcile accounts and maintain accurate balances.
Perform AR follow up on aging accounts.
Transmit claims for payment or further investigation.
Contact insured or other involved persons to obtain missing information or resolve billing issues.
Review insurance policy to determine coverage.
Research payer websites, using computers to enter, access, search, and retrieve data.
Provide customer service, such as assisting with inquiries and billing requests.
Monitor for missing information, authorization/control numbers.

Benefits

Competitive base pay
Matching retirement programs
Health, Dental and Vision plans
Health Savings and Flexible Spending Accounts
Employee discounts including car rental, cell-phone plans
Employer-paid, Long-Term Disability, Life, and AD&D
Paid time off (PTO)
Education Assistance Program
Employee Assistance Program
Employee Referral Bonus Program
Discounted cafeteria meals
Paid Parental Leave
Employee Service Recognition program
Voluntary plans including: Life, AD&D, Short-Term Disability, Critical Illness, Accident, Insurance, and Hospital Indemnity