Insurance and Accounts Receivable Specialist

MNGI • Minneapolis, MN

1d • Hybrid

About The Position

This full-time position is responsible for handling internal and external phone calls with a customer service approach, demonstrating an understanding of Electronic Practice Management (EPM) and Electronic Health Records (EHR) within NextGen software, and managing the process from appointment scheduling to collections. The role involves working with patients and insurance companies to resolve concerns while maintaining HIPAA compliance, monitoring remittance advice, submitting claims and appeals, processing insurance payments, and conducting Payer Audits. The specialist must understand CMS billing guidelines, new insurance plans, and maintain insurance information. This role requires a High School Diploma or GED and 1-2 years of experience in a business office/billing setting.

Requirements

• High School Diploma or GED required.
• 1-2 years of experience in a business office/billing setting.
• Knowledge of Microsoft Office applications.
• Knowledge of insurance payers.
• Compassionate patient care.
• Active listening.
• Problem solving, prioritization, and critical thinking.
• Attention to detail.
• Organization and time management.
• Ability to multitask.
• Ability to communicate effectively verbally and in writing.
• Ability to work independently as well as in a team environment.
• Ability to type proficiently and accurately.
• Ability to walk, sit, stand, reach overhead, and bend to the floor.
• Ability to talk and hear.
• Dexterity of hands and fingers to operate a computer keyboard, mouse, and other office equipment.
• Specific vision abilities required include close vision and ability to adjust focus.
• Ability to lift and transport items up to 10 pounds occasionally.
• Must be alert to conditions that may impact the safety of patients, employees and visitors.

Nice To Haves

• Demonstrate an understanding of Electronic Practice Management (EPM) and Electronic Health Records (EHR) within NextGen software.

Responsibilities

• Ensure all internal and external phone calls (patients, staff, insurance companies, etc.) are handled in a professional manner with a customer service approach.
• Demonstrate an understanding of Electronic Practice Management (EPM) and Electronic Health Records (EHR) within NextGen software as it relates to insurance, demographics, and release of information associated with the daily functions of the Business Office.
• Understand the process from the time patient schedules an appointment, front desk procedure, coding, billing, application of payment, and collections.
• Work closely with patients, insurance companies, and co-workers to address or resolve any concerns while maintaining HIPAA compliance.
• Monitor remittance advice for details including denials and payment inconsistencies.
• Submit replacement claims and appeals to the insurance companies; submit timely follow up requests for status.
• Assist as needed in processing insurance payments so that all accounts are up-to-date and accurate.
• Complete insurance Payer Audits quarterly to ensure payments are accurate per our contracted rates.
• Run service item reports to verify correct payment/information for processing claims.
• Must have knowledge and understanding of CMS billing guidelines for submitting accurate information on claims.
• Knowledge on new insurance plans each year.
• Research insurance portals.
• Maintain information from insurance bulletins.
• Understand how to set up new insurance and update all pertinent documents in MNGI.
• Any and all other duties as assigned.

Benefits

• Health Coverage: Medical, Dental & Vision Insurance
• Retirement: 401(K) with Company Match, Profit Sharing
• Time Off: Generous PTO, Holiday Pay, Floating Holiday
• Disability Coverage: Short & Long-Term Disability
• Family Support: Paid Leave and Disability
• Performance Incentive: Discretionary Bonus Based on Company, Department, and Individual Goals

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED