Insurance Specialist Jobs

About The Position

Requirements

• High school diploma or GED.
• 40 scheduled hours per week.

Nice To Haves

• Two to three years of experience in a related medical field, including experience processing referrals.

Responsibilities

• Obtain authorizations from insurance companies for referrals to physicians or medical facilities and for procedures, testing, and medications.
• Verify eligibility and coverage for referrals and testing by phone, fax, or Internet.
• Schedule appointments for testing at medical facilities and appointments with physicians.
• Investigate billing problems and denials.
• Notify patients in a timely manner whether referrals are authorized or denied, and provide instructions.
• Enter patient and insurance changes and corrections to maintain accurate billing-system information.
• Answer telephones, take messages, schedule appointments, and greet patients as needed.
• Prepare daily patient charge encounter forms and create or update patient charts as needed.
• Oversee the waiting area, coordinate patient movement, and report problems or irregularities.
• Screen visitors and respond to routine requests for information.
• Organize and file progress notes, testing reports, and other chart-completion forms; assist with filing patient charts.
• Collect patient balances and copayments as needed and balance collected funds daily.
• Open and distribute daily mail as needed.
• Collect physician charge slips daily and reconcile their number and totals.
• Post payments to the appropriate patient accounts in computer billing systems.
• Enter charge information into the online billing system.
• Assist with coding and error resolution and request needed information from physician offices.
• Help patients resolve billing questions and account issues.
• Review information to determine an appropriate course of action for patients and refer them to the local DSS office when appropriate.

Benefits

• Competitive pay
• Incentives
• Referral bonuses
• 403(b) with employer contributions when eligible
• Medical, dental, vision, and prescription coverage
• HSA/FSA options
• Life insurance
• Mental health resources
• Discounts
• Paid time off
• Parental and FMLA leave
• Short- and long-term disability
• Backup care for children and elders
• Tuition assistance
• Professional development
• Continuing education support