Insurance Billing Specialist - HRPN - FT

Hutchinson Regional Medical Center, Inc.•Hutchinson, KS

7d•Onsite

About The Position

Performs patient account/billing activities related to admissions, insurance claims preparation, billing, and collection. The benefits have never been more rewarding. Here are a few things we offer: Paid Parental Leave Tuition reimbursement Paid time off Holiday premium pay Shift and weekend differential pay 401k with a 6% employer match Medical, Dental, and Vision coverage Employee assistance program

Requirements

High School diploma or equivalent.
One year of related experience.

Nice To Haves

Two years HME/DME knowledge.
Two years insurance billing experience in the medical field and knowledge of medical terminology.
Understand payer contracts and member co-pay and eligibility requirements.
Excellent phone and customer relation skills.
Demonstrated ability to communicate effectively.
Moderate computer knowledge and 10-key skills.
Written communication skills.
Ability to identify and seek needed information/research skills.
Analytical thinking skills.
Detail oriented.
Ability to meet deadlines.
Mathematical skills.

Responsibilities

Analyzes and reviews claims to ensure that payer-specific billing requirements are met.
Resolves routine patient billing inquiries and problems.
Follows up on billing, applying appropriate adjustments as needed.
Reviews and verifies insurance accounts against program provisions.
Responds to denials from payers such as invalid diagnosis and procedure codes, contractual arrangements, and medical necessity to ensure required information is transmitted to process payments.
Responds to patient phone and walk-in inquiries as needed.
Ensures documentation is complete and timely according to policy and procedures.
Meets productivity standards.
Act in accordance with the established mission, vision, and values.
Abide by the Health Insurance Portability and Accountability privacy and security regulations regarding all aspects of Protected Health Information (PHI).
Maintain effective communication and professional working relationships with patients/clients and their representatives, team members, contractors, physicians, peers, outside agencies, and the public.
Perform other duties as assigned.