Overview
This position involves advanced follow-up on insurance billing and collection activities to expedite payments for physician services. Responsibilities include making collection calls, verifying insurance records and claims accuracy, and contacting insurance companies and collection agencies.
Responsibilities
- Perform insurance follow-up billing and collection duties across various financial classifications to ensure timely and accurate payment of physician charges.
- Review patient accounts to verify accuracy of insurance information, eligibility, invoice resolution, correspondence, remittances, and requests for additional information.
- Utilize Epic, system tools, and payer websites for claim submission, claim status inquiries, attachments, eligibility, and authorization/referral checks.
- Make collection calls to insurance companies and patients to ensure timely claim payments.
- Contact insurance companies regarding payment postings and collection agencies regarding payment reports.
- Support customer service by answering billing and collection questions.
- Assist with training new staff members.
- Consistently meet Quality Assurance (QA) and efficiency standards for processing invoices and follow best practices for one-touch resolution.
- Collaborate with management and staff to discuss issues.
- May serve as Team Lead.
- Assist with special projects and perform other duties as assigned.
Working Conditions
- Normal office environment.
- Typically seated at a desk or table.
- Repetitive wrist, hand, or finger movement (PC typing).
- Use of standard office equipment.
Education and Experience
- Required: High school diploma or equivalent certification, or a combination of education and experience.
- Preferred: Associate degree.
- Work Experience: Minimum of 3 years in billing or insurance.
Certifications and Licenses
- No specific certifications or professional licenses required.
Skills
- Claims resolution and collections strategies.
- Strong communication skills.
- Computer literacy including Epic EHR, Microsoft Excel, and Microsoft Word.
- Knowledge of health insurance billing, HIPAA regulations, ICD-10 procedure coding, medical billing and coding, and medical terminology.
- Experience with insurance follow-up and telephone communications.
- Ability to handle confidential data.
- Team leadership skills.
Compensation and Benefits
- Salary range: $20.57 - $30.84 per hour, based on qualifications, performance, equity, market rates, and department budget.
- Up to 22 days of vacation, 10 recognized holidays, and sick time.
- Competitive health insurance with priority appointments and lower copays/coinsurance.
- Free Metro transit U-Pass for eligible employees.
- Defined contribution (403(b)) Retirement Savings Plan with combined employee and employer contributions starting at 7%.
- Wellness programs including challenges, health screenings, mental health resources, mindfulness courses, employee assistance program, financial resources, and access to dietitians.
- Family benefits including 4 weeks of caregiver leave, family care resources, and tuition coverage for employees and dependents (up to 100% at the institution and 40% elsewhere after seven years).
Pre-Employment Screening
All external candidates will undergo pre-employment screening including criminal background check, drug screening, employment and education verification, physical examination, vaccinations, and governmental registry checks as applicable. Employment offers are contingent upon successful completion.
Equal Employment Opportunity
The organization is committed to equal employment opportunity and provides access to all persons without regard to race, ethnicity, color, national origin, citizenship (where prohibited by law), age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information.