Insurance Verification Specialist / Specialty Billing Representative

Mid Atlantic Retina•Bethlehem, PA

About The Position

This position is eligible for Mid Atlantic Retina's $1,000 Hiring Incentive! The hired candidate will receive $500 after successful completion of 90 days of employment and $500 after successful completion of 1 year of employment! Available to new hires only- not available to agency hires, internal transfers, or re-hires.

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.

Nice To Haves

Creative problem solving within defined acceptable parameters.
Superior listening skills, professional demeanor, and appropriate firmness.
Responds promptly to customer needs.
Ability to handle difficult patient interactions relative to sensitive billing issues.
Ensure proper procedures, protocols and processes are complied with consistently.
Works effectively with patients, employees, and physicians.
Creative problem solving within defined acceptable parameters.
Maintains high volume productivity level for essential functions.
Maintains confidentiality.

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.