Insurance Verification Specialist / Specialty Billing Representative

Mid Atlantic Retina • Bethlehem, PA

1d

About The Position

Specialty Billing is responsible for verifying all benefits as they pertain to specialty drug injections and all the co-pay assistance funds. They are also responsible for following up with accounts receivable for any necessary payer.

Requirements

• Medical billing experience preferred.
• Knowledge of benefit investigation including obtaining eligibility information, authorizations, and referrals.
• Experience with CPT codes and ICD-10.
• Microsoft Office Suite required.

Responsibilities

• Verifies all benefits for scheduled injection appointments.
• Evaluates all benefits for patient responsibility and notates accurate collection amounts.
• Obtains all necessary pre-authorizations or pre-determinations for each patient to have treatment with a specialty drug.
• Monitors all assigned schedules for add-ons and changes.
• Assists in general billing AR when needed including but not limited to claims follow up, calls to insurances and anything necessary to obtain payment for all specialty drugs.
• Recognizes, interprets, and evaluates inconsistencies, discrepancies, and inaccuracies in accounts along with system files, and initiates appropriate corrective methods.
• Act as customer service representative in person or by telephone for any patient's questions about their account.
• Maintain up to date billing knowledge of insurance carriers and their clinical policies.
• Works overtime as needed.
• Travels to other MAR locations as needed.
• Performs other duties as assigned.

Benefits

• Medical
• Dental
• Vision
• Sick Time
• Vacation Time
• 7 Paid Holidays

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed