Medical Insurance Clerk I - UMC Billing Office - 530356
About The Position
The Medical Insurance Clerk I processes insurance claims submitted for reimbursement. Communicates with insurance carriers and patients on coverage and payment requirements to facilitate timely reimbursement on outstanding claims. Completes daily review, posting, and reconciliation of various reimbursements from insurances carriers and/or patients. Scans EOB documents. Reviews and posts unapplied payments for proper allocation. Assists with the processing of refunds to patients and/or payors. Provides billing and clerical support for the University Medical Center Business Office. Responsible for operational and processing duties of all claims submitted for reimbursement for the College of Community Health Sciences (CCHS). Reviews insurance claims, follows up with insurance carriers, and works with patients on coverage and payment requirements. Ensures timely reimbursement on outstanding claims. Partners with CCHS enterprise services (including Health Informatics, Medical Billing, Medical Records, and others) to meet short and long-term collection goals. Maintains strict confidentially of protected health information and follows HIPAA regulations at all times.
Requirements
- High school diploma or GED and some experience in a medical or insurance office; OR associate's degree or higher.
- Detailed-oriented.
- Efficient and accurate computer and data entry skills.
- Ability to multi-task in a fast paced work environment.
- Excellent communication, public relations, customer service, and telephone etiquette skills.
- Willingness to learn, train/share relevant knowledge and consistently deliver patient-centered, high quality customer service.
- Desire to exemplify the core values and mission of the organization, always exercising utmost discretion, diplomacy, and tact in patient/staff interactions.
Nice To Haves
- Associate's Degree, or 2 years of relevant training and/or experience in a medical insurance office with a focus on claims processing.
- Working knowledge of revenue cycle management, understanding of insurance payor protocols, CPT/ICD coding and/or medical terminology knowledge/experience preferred.
Responsibilities
- Processes insurance claims submitted for reimbursement.
- Communicates with insurance carriers and patients on coverage and payment requirements to facilitate timely reimbursement on outstanding claims.
- Completes daily review, posting, and reconciliation of various reimbursements from insurances carriers and/or patients.
- Scans EOB documents.
- Reviews and posts unapplied payments for proper allocation.
- Assists with the processing of refunds to patients and/or payors.
- Provides billing and clerical support for the University Medical Center Business Office.
- Responsible for operational and processing duties of all claims submitted for reimbursement for the College of Community Health Sciences (CCHS).
- Follows up with insurance carriers.
- Works with patients on coverage and payment requirements.
- Ensures timely reimbursement on outstanding claims.
- Partners with CCHS enterprise services to meet short and long-term collection goals.
- Maintains strict confidentiality of protected health information and follows HIPAA regulations at all times.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
