INSURANCE SPECIALIST/PT ACCTS - FULL TIME

Ste Genevieve County Memorial Hospital•Ste. Genevieve, MO

19d

About The Position

Insurance Specialist – Billing – Full Time Ste. Genevieve County Memorial Hospital is a Critical Access Hospital, stand-alone, not-for-profit hospital located in Ste. Genevieve, MO, that focuses on personalized care. Our 25-inpatient bed facility is a Medicare 4-star rated and is ranked in the top 1% Nationally for Patient Safety, Quality, and Efficiency. SGCMH has also been recognized by Becker’s 150 Top Places to Work in Healthcare. We are proud to extend the mission of SGCMH by putting people first with excellent, personalized, and compassionate healthcare. Our deep community roots date back as the oldest town west of the Mississippi river and is the first French settlement Missouri with the hospital employing approximately 490 employees and 100 multi-specialty providers on staff. We have all the best qualities of working in a large hospital without all the hassle of driving to the city and working in a corporate environment. Benefits are one of the ways we encourage health for you and your family. Our generous package includes medical, dental and vision coverage. But health is more than a well-working body: It encompasses body, mind and social well-being. To that end, we’ve launched a Wellness Program to address your holistic health. Our Wellness Program includes financial incentives, counseling, sick, and paid time off. We also offer retirement planning. What to expect as an Insurance Specialist: Edits all necessary information for proper billing to ensure accuracy and timely submission to insurance carriers using EHR and Clearing House. Apply customer service skills to resolve patient inquires and concerns pertaining to their hospital accounts. Reviews all remittance advices and payments for proper and correct reimbursement, identifies any discrepancies and attempts to resolve. Responds timely and accurately to all incoming correspondence and inquires from payors, patients, and other appropriate parties. Appeals rejected claims and resubmits any information required by insurance companies in order to process the claim. Writes appropriate notes in system for every account for which action has been taken. Organizes and prioritizes work based on time needed to complete with minimum supervision. Exhibits good judgment as well as thorough knowledge of ethical and legal billing procedures. Stays informed of changes in billing procedures that affect processes and reimbursement effectiveness. Completes any project assigned by the Billing Supervisor to the best of his/her abilities. Meets monthly A/R goals. Perform monthly review of aged receivables and contact payors/patients to take appropriate action to assure such accounts are processed in a timely manner. Requirements Qualifications: High school graduate or equivalent. Interpersonal communication skills to participate as a team member in a caring, courteous and professional manner. Basic office skills such as keyboarding and filing. 1-2 year previous experience in a medical setting, preferably in filing and medical insurance claims. Your next move: Now that you know more about being an Insurance Specialist on our team we hope you’ll join us. At SGCMH you’ll reaffirm every day how much you love this work, and why you were called to it in the first place. SGCMH is an equal opportunity employer. All recruiting, training, and employment decisions are made in accordance with applicable federal, state, and local laws and without regard to race, color, ancestry, national original gender, pregnancy, gender identity, sexual orientation, religion, age, disability, handicap, military or veteran status or any other legally protected status.

Requirements

High school graduate or equivalent.
Interpersonal communication skills to participate as a team member in a caring, courteous and professional manner.
Basic office skills such as keyboarding and filing.
1-2 year previous experience in a medical setting, preferably in filing and medical insurance claims.

Responsibilities

Edits all necessary information for proper billing to ensure accuracy and timely submission to insurance carriers using EHR and Clearing House.
Apply customer service skills to resolve patient inquires and concerns pertaining to their hospital accounts.
Reviews all remittance advices and payments for proper and correct reimbursement, identifies any discrepancies and attempts to resolve.
Responds timely and accurately to all incoming correspondence and inquires from payors, patients, and other appropriate parties.
Appeals rejected claims and resubmits any information required by insurance companies in order to process the claim.
Writes appropriate notes in system for every account for which action has been taken.
Organizes and prioritizes work based on time needed to complete with minimum supervision. Exhibits good judgment as well as thorough knowledge of ethical and legal billing procedures.
Stays informed of changes in billing procedures that affect processes and reimbursement effectiveness.
Completes any project assigned by the Billing Supervisor to the best of his/her abilities.
Meets monthly A/R goals.
Perform monthly review of aged receivables and contact payors/patients to take appropriate action to assure such accounts are processed in a timely manner.