Billing Insurance Specialist

Amplifon•Waco, TX

1d•$20 - $22•Onsite

About The Position

Amplifon Americas, parent company to Miracle-Ear, a world leader in hearing health care, has a strong demand for diverse, authentic, creative, and versatile talent for our Billing Insurance Specialist. We are looking for someone who is forward-thinking to help us strive towards everyday excellence while focusing on customer devotion and personal impact to ensure we are acting responsibly in everything we do. As a Billing Insurance Specialist, Insurance claim processing to help patients take advantage of their benefits and make hearing aid purchases more affordable. Follow up on claim statuses, investigate reasons for denials, and support the appeals process when necessary...

Requirements

Associates degree or equivalent required
Insurance Billing certificate, background in medical coding, and 2 years of experience
Experience with Microsoft Office and comfort with technology
Excellent verbal and telephone communication skills
Strong interpersonal skills that allow effective working relationships with a range of clients, colleagues, and vendors.
Strong problem solving and organizational skills
Medical billing and coding proficiency, insurance claims processing, HIPPA Compliance, data entry, record keeping, continuing education

Responsibilities

File and follow up on insurance claims.
Maintain claim status and support the appeals process.
Complete benefits verification process for patients as needed
Assist with prior authorization approval: Verify medical documentation, submit documentation to insurance and notify offices of claim status and appeal outcomes.
Educate Office Managers on insurance processes and patient benefits.
Ensure FAQ documents and insurance-related forms are current and accessible on Blackboard.
Monitor clinic compliance with insurance protocols.
Meet regularly with the Amplifon team to discuss insurance updates, including fee schedules.
Respond to inquiries related to insurance billing.
Manage the clearinghouse system and ensure NPIs are correctly loaded into the database.
Submit Explanation of Benefits (EOBs) when working with new insurance providers in new states.
Audit billing procedures using reports to ensure accuracy and compliance.
Maintain and oversee payment for the clearinghouse system.
Maintain and update the NPI (National Provider Identifier) database.
Ensure clinic locations are active and properly registered with insurance providers.
Notify insurance companies of clinic closures due to relocations or acquisitions
Post insurance payments to invoices.
Notify offices when refunds are necessary.
Manage AR and collect outstanding balances from clinics.
Process write-offs and balance transfers for overpayments.