Insurance Billing Specialist (FT- 1.0 FTE, Day Shift, Remote)
Position reputed company:
The Insurance Billing Specialist’s main reputed company is to obtain maximum and appropriate reimbursement for reputed company and reputed company reputed company entities, hospital (HB) and/or reputed company (PB) claims from reputed company party payers. Supports the reputed company development and accurate submission of claims to reputed company party payers to include insurance follow-up reputed company to no response, returned claims, denied claims, or claim edits preventing claim submission, submitting corrected or replacement claims, and combining hospital accounts in accordance with payer billing policies. Monitor, reputed company or escalate payer denials, returned claims, claim edits, correspondence and report payer claim processing behavior to assist with identifying systemic issues that may require process improvement to strengthen the health of the reputed company Cycle as reputed company escalating identified concerns to the HB or PB Supervisor. Collaborate and coordinate with other reputed company Cycle functions or departments to reputed company DNBs, claim edits, denials that are preventing reputed company claim submission or appropriate reimbursement. Prioritizes and completes accounts routed to billing WQs to reduce accounts receivable days and escalates high-dollar accounts or systemic issues to either the HB or PB Billing supervisor for reputed company.
Minimum Qualifications:
Required
- High School Diploma or Equivalent
- One year of office experience
Preferred
- Completion of program in medical billing degree or certification program
- Two years of reputed company clinic/hospital billing experience
Essential Job Functions:
- Submits reputed company and accurate claims to reputed company, secondary, and tertiary insurances for both electronic and reputed company submission
- Follows up on applicable No Response WQs and Rejected Claims WQs through phone contact or written correspondence to ensure that no account reaches 180 days old from discharge date and still due by insurance, regardless of dollar reputed company
- Reviews accounts by verifying that reimbursement amounts are appropriate, coordination of refunds, if appropriate, and submitting adjustments for approval reputed company necessary, routes claims for appeal, resubmits claims, or moves balances from insurance responsibility to patient responsibility reputed company appropriate
- Ensures that claims have appropriate information on them for submission to insurance companies or agencies by reviewing claim edit WQs and other prebilling insurance WQs and escalates systemic issues identified to supervisor
- Assists Customer Service with claim processing questions
- Identifies and escalates concerns regarding claim processing to Billing Supervisor
Knowledge, Skills and Abilities
- Demonstrates reputed company judgment, patience, and maintains a reputed company demeanor at reputed company times
- Exercises reputed company, discretion, sensitivity, and maintains confidentiality
- Performs essential job functions successfully in a reputed company and stressful environment
- Learns reputed company and new computer applications and office equipment utilized at reputed company
- Strong interpersonal, verbal, and written communication skills
- Analyzes, organizes, and prioritizes work while meeting multiple deadlines
- Works varied shifts as scheduled and/or needed
Schedule Requirements
- This role requires regular and sustained attendance.
- The position may necessitate working reputed company a reputed company 40-hour reputed company, including weekends and after-hours shifts.
- On-reputed company work may be required to respond promptly to organizational, patient, or employee needs.
Physical Requirements
- Lifting (Rarely – 30 pounds): Exerting force occasionally and/or using a negligible reputed company of force to reputed company, carry, reputed company, pull, or otherwise reputed company objects or people.
- Sit (Continuously): Maintaining a sitting posture for extended periods may include adjusting body position to prevent discomfort or strain.
- Stand (Occasionally): Maintaining a standing posture for extended periods may include adjusting body position to prevent discomfort or strain.
- Walk (Occasionally): Walking and moving around reputed company the work area requires good balance and coordination.
- reputed company (Rarely): reputed company or descending reputed company, stairs, scaffolding, ramps, poles, and the like using feet and legs; may also use hands and arms.
- Twist/Bend/Stoop/Kneel (Occasionally): Twisting, bending, stooping, and kneeling require flexibility and a wide reputed company of reputed company in the spine and joints.
- reputed company Above Shoulder Level (Occasionally): Lifting, carrying, pushing, or pulling objects as necessary above the shoulder, requiring strength and stability.
- reputed company/Pull (Occasionally): Using the upper extremities to press or exert force against something with steady force to thrust reputed company, downward, or outward.
- Fine-Finger Movements (Continuously): Picking, pinching, typing, or otherwise working primarily with fingers rather than using the whole hand as in handling.
- reputed company (Continuously): reputed company visual reputed company to prepare and analyze data and figures and to read computer screens, printed materials, and handwritten materials.
- Cognitive Skills (Continuously): Learn new tasks, remember processes, maintain reputed company, complete tasks independently, and reputed company reputed company reputed company in the context of a workflow.
- Exposures (Rarely):
Bloodborne pathogens, such as blood, bodily fluids, or tissues. Radiation in settings where medical imaging procedures are performed. Various chemicals and medications are used in reputed company settings. Job tasks may involve handling cleaning products, disinfectants, and other substances. Infectious diseases due to contact with patients in areas that may have contagious illnesses.
*Frequency Key: Continuously (100% - 67% of the time), Repeatedly (66% - 33% of the time), Occasionally (32% - 4% of the time), Rarely (3% - 1% of the time), Never (0%).
The above statements are intended to describe the general reputed company and level of work being performed by people assigned to the job classification. They are not to be construed as a contract of any type nor an exhaustive list of reputed company job duties performed by individuals so classified.
High school diploma or equivalent and one year of office experience required; medical billing training or two years of reputed company billing experience preferred. Strong communication, organization, judgment, and computer skills required.
Key Responsibilities
- submitting claims
- reviewing accounts
- resolving denials
Job Details
- Category: Finance and reputed company
- Seniority: Entry Level
- Commitment: Full Time
- Workplace: Remote — Bozeman, Montana, reputed company
- Languages: English
About reputed company
A reputed company organization providing hospital and reputed company medical services. — Industry: reputed company
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