Insurance Specialist I - Corporate Patient AR Mgmt - Full Time
Towanda, PA jobs
Responsible for non‐complex electronic and paper claim submissions to insurance payers. Coordinates required information for filing secondary and tertiary claims reviews and analyzes claims for accuracy, i.e. diagnosis and procedure codes are compatible and accurate. Makes charge corrections or follows up with appropriate parties as needed to ensure billing invoice is correct. Follows up with payers on unresponded claims. Works denied claims by following correct coding and payer guidelines resulting in appeal or charge correction. Teams with Insurance Billing Specialist II and Denial Resolution staff to work projects, request guidance on more complex billing issues and cross training for other payers and tasks. Responds to a variety of questions from insurance companies, government agencies and all Guthrie Medical Group offices. Partners with CRC and other Guthrie departments to field billing inquiries. Answers all correspondence from insurance carriers including requests for supportive documentation.
Education, License & Cert:
High school diploma required; CPC, CCA, RHIA, RHIT certification in medical billing and coding or Associates degree preferred.
Experience:
Strong organizational and customer service skills a must. Experience with office software such as Word and Excel required. Previous experience performing in a high volume and fast paced environment.
Essential Functions:
1. Works pre‐AR edits, paper claims, reports and work queues as assigned to ensure accurate and timely claim submission to individual payers. Reports possible payer or submission issues.
2. Works closely with a Denial Resolution Specialist or Billing Specialist II mentor to cross train on various payers and tasks to expand insurance billing knowledge and skills.
3. Follows up on rejected and/or non‐responded claims as assigned. Utilizes internal rejection protocols, coding knowledge, reimbursement policies, payer guidelines and other sources in order to research rejections to secure appropriate payment.
4. Provides back up to Central Charge Entry and Cash Applications. Manually enters charges, posts and distributes insurance and patient payments.
5. Promptly reports payer, system or billing issues.
6. Utilizes Epic system functions accurately to perform assigned tasks. Ex: charge corrections, invoice inquiry, billing edits, insurance eligibility.
7. Exports and prepares spreadsheets, manipulating data fields for project work.
8. Identifies and provides appropriate follow up for claims that require correction or appeal.
9. Provides timely resolution of credit balance as identified and/or assigned. 10. Requests adjustments on invoices that have been thoroughly researched and/or were unable to reach payment resolution. Documents support on request forms and performs adjustments within policy guidelines.
Other Duties:
1. Provides feedback related to workflow processes in order to promote efficiency.
2. Answers phone calls and correspondence providing request information. Documents action taken and provides appropriate follow up.
3. Acquires and maintains knowledge of and performs within the compliance of the Guthrie Clinic's Corporate Revenue Cycle policies and insurance payer regulations and guidelines.
4. Demonstrates excellent customer service skills for both internal and external customers.
5. Maintains strict confidentiality related to patient health information in accordance with HIPAA regulations.
6. Assists with and completes projects and other duties as assigned.
Insurance Specialist
Nashville, TN jobs
Bankers Life , one of the most respected brands in the Financial Services industry, is seeking ambitious individuals to grow our team of Insurance Professionals. We offer award-winning training, access to mentors, and a workday that can be built around your lifestyle and an opportunity to advance your career within a leadership role.
As an Insurance Professional, you will:
Build a client base by growing relationships with your network and providing guidance
Gain expertise through sponsored coursework and proprietary agent development training
Guide clients through important financial decisions using the latest software and our expansive product portfolio
Own your career by utilizing company sponsored leadership development programs to increase your potential for advancement to our mid or upper-level management roles
Build manage, and lead teams of Insurance Professionals
What makes a great Insurance Professional?
Strong relationship building and communication skills
Self-motivation to network and prospect for new clients, while demonstrating strong time management skills
A competitive and entrepreneurial spirit to achieve success both for yourself and others
The ability to present complicated concepts effectively
What we offer:
Highly competitive commission structure designed to grow with you
Passive income opportunities and bonus programs
Fully paid study programs for insurance licensing, SIE, Series 6, Series 63, CFP
Award-winning training - Bankers Life has been named as a Training Apex Award Winner for the twelfth consecutive year
Flexible in-office schedules once you complete your agent training
Progressive advancement opportunities
Retirement savings program and more
Bankers Life , a subsidiary of CNO Financial, is a Fortune 500 company with a strong commitment to diversity and inclusion. We value an inclusive and belonging environment where everyone's different viewpoints bring new successes! Please visit our career site to learn more about our mission: ********************************
Commercial Insurance Billing Specialist (remote)
Birmingham, AL jobs
Company:Marsh McLennan AgencyDescription:
Our not-so-secret sauce.
Award-winning, inclusive, Top Workplace culture doesn't happen overnight. It's a result of hard work by extraordinary people. The industry's brightest talent drives our efforts to deliver purposeful work and meaningful impact every day. Learn more about what makes us different and how you can make your mark as an Insurance Billing Specialist at McGriff Specialty, a division of Marsh McLennan Agency (MMA).
Marsh McLennan Agency (MMA) provides business insurance, employee health & benefits, retirement, and private client insurance solutions to organizations and individuals seeking limitless possibilities. With offices across North America, we combine the personalized service model of a local consultant with the global resources of the world's leading professional services firm, Marsh McLennan (NYSE: MMC).
A day in the life.
As our Insurance Billing Specialist on the McGriff Specialty Insurance Billing team, you'll generate entries for premiums, fees, and/or commissions accurately and efficiently. Research billing discrepancies or issues, provide solutions, and communicate to stakeholders to ensure accurate billing, commission posting, and related financial reporting.
Our future colleague.
We'd love to meet you if your professional track record includes these skills:
High school diploma or equivalent education, training and work-related experience
Commercial Property & Casualty Insurance experience
Commercial Insurance Billing experience
Highly effective written and verbal communication skills
Proven ability to act with responsiveness, urgency and professionalism in all matters while prioritizing responsibilities and proactively accomplishing goals
Strong work ethic, exhibited through acceptable attendance, management of appropriate workload, and willingness to admit mistakes and take ownership of performance
Demonstrated proficiency in basic computer applications, such as Microsoft Office software products
These additional qualifications are a plus, but not required to apply:
Familiarity with general accounting principles
Knowledge of Insurance Billing systems
We know there are excellent candidates who might not check all of these boxes. Don't be shy. If you're close, we'd be very interested in meeting you.
Valuable benefits.
We value and respect the impact our colleagues make every day both inside and outside our organization. We've built a culture that promotes colleague well-being through robust benefit programs and resources, encourages professional and personal development, and celebrates opportunities to pursue the projects and causes that give colleagues fulfilment outside of work.
Some benefits included in this role are:
Generous time off, including personal and volunteering
Tuition reimbursement and professional development opportunities
Hybrid Work
Charitable contribution match programs
Stock purchase opportunities
To learn more about a career at McGriff, a division of Marsh McLennan Agency, check us out online: ************************
To view additional career opportunities, visit *************************** or flip through our recruiting brochure: ********************************************************************
Follow us on social media to meet our colleagues and see what makes us tick:
Instagram
Facebook
X
LinkedIn
Who
you
are is who
we
are.
We embrace a culture that celebrates and promotes the many backgrounds, heritages and perspectives of our colleagues and clients. We are always seeking those with ethics, talent, and ambition who are interested in joining our client-focused teams.
Marsh McLennan and its affiliates are EOE Minority/Female/Disability/Vet/Sexual Orientation/Gender Identity employers.
#MMAMCG
The applicable base salary range for this role is $39,200 to $68,500.The base pay offered will be determined on factors such as experience, skills, training, location, certifications, education, and any applicable minimum wage requirements. Decisions will be determined on a case-by-case basis. In addition to the base salary, this position may be eligible for performance-based incentives.We are excited to offer a competitive total rewards package which includes health and welfare benefits, tuition assistance, 401K savings and other retirement programs as well as employee assistance programs.Applications will be accepted until:February 28, 2026
Auto-ApplyBiller
Great Neck, NY jobs
About the Role:
As a Biller at Digestive Healthcare Associates (DHNY), you will play a critical role in managing the financial transactions related to patient care within the healthcare setting. Your primary objective will be to ensure accurate and timely billing of medical services, facilitating smooth revenue cycles and compliance with healthcare regulations. You will collaborate closely with healthcare providers, insurance companies, and patients to resolve billing inquiries and discrepancies. This role demands meticulous attention to detail and a strong understanding of medical billing codes and insurance policies to maximize reimbursement. Ultimately, your work will contribute to the financial health of the organization while supporting patient satisfaction through transparent and efficient billing processes.
Minimum Qualifications:
High school diploma or equivalent required; associate degree or higher in healthcare administration or related field preferred.
Proven experience in medical billing or healthcare revenue cycle management.
Familiarity with medical billing software and electronic health record (EHR) systems.
Strong knowledge of medical terminology, CPT, ICD-10, and HCPCS coding standards.
Excellent organizational skills and attention to detail.
Preferred Qualifications:
Certification as a Certified Professional Biller (CPB) or Certified Medical Reimbursement Specialist (CMRS).
Experience working in a gastroenterology or digestive healthcare setting.
Proficiency with specific billing platforms used in DHNY or similar healthcare organizations.
Strong customer service skills with experience handling sensitive patient financial information.
Ability to analyze billing data to identify trends and recommend process improvements.
Responsibilities:
Prepare and submit accurate medical claims to insurance companies and other third-party payers in a timely manner.
Review patient records and billing information to ensure completeness and accuracy before processing claims.
Follow up on unpaid or denied claims by communicating with insurance providers and resolving any issues or discrepancies.
Maintain detailed records of billing activities, payments received, and outstanding balances.
Assist patients with billing questions, providing clear explanations of charges and payment options.
Collaborate with healthcare providers and administrative staff to update billing codes and procedures as needed.
Ensure compliance with all relevant healthcare laws, regulations, and insurance guidelines.
Skills:
In this role, your expertise in medical billing codes and healthcare regulations will be essential for accurately processing claims and minimizing denials. Your proficiency with billing software and EHR systems will enable you to efficiently manage patient data and billing workflows. Strong communication skills will be used daily to interact with insurance companies, healthcare providers, and patients, ensuring clarity and resolution of billing issues. Attention to detail is critical to verify the accuracy of billing information and maintain compliance with legal standards. Additionally, analytical skills will help you identify billing trends and contribute to improving the overall revenue cycle management at Digestive Healthcare Associates.
Auto-ApplyCommercial Insurance Billing Specialist (remote)
Atlanta, GA jobs
Company:Marsh McLennan AgencyDescription:
Our not-so-secret sauce.
Award-winning, inclusive, Top Workplace culture doesn't happen overnight. It's a result of hard work by extraordinary people. The industry's brightest talent drives our efforts to deliver purposeful work and meaningful impact every day. Learn more about what makes us different and how you can make your mark as an Insurance Billing Specialist at McGriff Specialty, a division of Marsh McLennan Agency (MMA).
Marsh McLennan Agency (MMA) provides business insurance, employee health & benefits, retirement, and private client insurance solutions to organizations and individuals seeking limitless possibilities. With offices across North America, we combine the personalized service model of a local consultant with the global resources of the world's leading professional services firm, Marsh McLennan (NYSE: MMC).
A day in the life.
As our Insurance Billing Specialist on the McGriff Specialty Insurance Billing team, you'll generate entries for premiums, fees, and/or commissions accurately and efficiently. Research billing discrepancies or issues, provide solutions, and communicate to stakeholders to ensure accurate billing, commission posting, and related financial reporting.
Our future colleague.
We'd love to meet you if your professional track record includes these skills:
High school diploma or equivalent education, training and work-related experience
Commercial Property & Casualty Insurance experience
Commercial Insurance Billing experience
Highly effective written and verbal communication skills
Proven ability to act with responsiveness, urgency and professionalism in all matters while prioritizing responsibilities and proactively accomplishing goals
Strong work ethic, exhibited through acceptable attendance, management of appropriate workload, and willingness to admit mistakes and take ownership of performance
Demonstrated proficiency in basic computer applications, such as Microsoft Office software products
These additional qualifications are a plus, but not required to apply:
Familiarity with general accounting principles
Knowledge of Insurance Billing systems
We know there are excellent candidates who might not check all of these boxes. Don't be shy. If you're close, we'd be very interested in meeting you.
Valuable benefits.
We value and respect the impact our colleagues make every day both inside and outside our organization. We've built a culture that promotes colleague well-being through robust benefit programs and resources, encourages professional and personal development, and celebrates opportunities to pursue the projects and causes that give colleagues fulfilment outside of work.
Some benefits included in this role are:
Generous time off, including personal and volunteering
Tuition reimbursement and professional development opportunities
Hybrid Work
Charitable contribution match programs
Stock purchase opportunities
To learn more about a career at McGriff, a division of Marsh McLennan Agency, check us out online: ************************
To view additional career opportunities, visit *************************** or flip through our recruiting brochure: ********************************************************************
Follow us on social media to meet our colleagues and see what makes us tick:
Instagram
Facebook
X
LinkedIn
Who
you
are is who
we
are.
We embrace a culture that celebrates and promotes the many backgrounds, heritages and perspectives of our colleagues and clients. We are always seeking those with ethics, talent, and ambition who are interested in joining our client-focused teams.
Marsh McLennan and its affiliates are EOE Minority/Female/Disability/Vet/Sexual Orientation/Gender Identity employers.
#MMAMCG
The applicable base salary range for this role is $39,200 to $68,500.The base pay offered will be determined on factors such as experience, skills, training, location, certifications, education, and any applicable minimum wage requirements. Decisions will be determined on a case-by-case basis. In addition to the base salary, this position may be eligible for performance-based incentives.We are excited to offer a competitive total rewards package which includes health and welfare benefits, tuition assistance, 401K savings and other retirement programs as well as employee assistance programs.Applications will be accepted until:February 28, 2026
Auto-ApplyCommercial Insurance Billing Specialist (remote)
Memphis, TN jobs
Company:Marsh McLennan AgencyDescription:
Our not-so-secret sauce.
Award-winning, inclusive, Top Workplace culture doesn't happen overnight. It's a result of hard work by extraordinary people. The industry's brightest talent drives our efforts to deliver purposeful work and meaningful impact every day. Learn more about what makes us different and how you can make your mark as an Insurance Billing Specialist at McGriff Specialty, a division of Marsh McLennan Agency (MMA).
Marsh McLennan Agency (MMA) provides business insurance, employee health & benefits, retirement, and private client insurance solutions to organizations and individuals seeking limitless possibilities. With offices across North America, we combine the personalized service model of a local consultant with the global resources of the world's leading professional services firm, Marsh McLennan (NYSE: MMC).
A day in the life.
As our Insurance Billing Specialist on the McGriff Specialty Insurance Billing team, you'll generate entries for premiums, fees, and/or commissions accurately and efficiently. Research billing discrepancies or issues, provide solutions, and communicate to stakeholders to ensure accurate billing, commission posting, and related financial reporting.
Our future colleague.
We'd love to meet you if your professional track record includes these skills:
High school diploma or equivalent education, training and work-related experience
Commercial Property & Casualty Insurance experience
Commercial Insurance Billing experience
Highly effective written and verbal communication skills
Proven ability to act with responsiveness, urgency and professionalism in all matters while prioritizing responsibilities and proactively accomplishing goals
Strong work ethic, exhibited through acceptable attendance, management of appropriate workload, and willingness to admit mistakes and take ownership of performance
Demonstrated proficiency in basic computer applications, such as Microsoft Office software products
These additional qualifications are a plus, but not required to apply:
Familiarity with general accounting principles
Knowledge of Insurance Billing systems
We know there are excellent candidates who might not check all of these boxes. Don't be shy. If you're close, we'd be very interested in meeting you.
Valuable benefits.
We value and respect the impact our colleagues make every day both inside and outside our organization. We've built a culture that promotes colleague well-being through robust benefit programs and resources, encourages professional and personal development, and celebrates opportunities to pursue the projects and causes that give colleagues fulfilment outside of work.
Some benefits included in this role are:
Generous time off, including personal and volunteering
Tuition reimbursement and professional development opportunities
Hybrid Work
Charitable contribution match programs
Stock purchase opportunities
To learn more about a career at McGriff, a division of Marsh McLennan Agency, check us out online: ************************
To view additional career opportunities, visit *************************** or flip through our recruiting brochure: ********************************************************************
Follow us on social media to meet our colleagues and see what makes us tick:
Instagram
Facebook
X
LinkedIn
Who
you
are is who
we
are.
We embrace a culture that celebrates and promotes the many backgrounds, heritages and perspectives of our colleagues and clients. We are always seeking those with ethics, talent, and ambition who are interested in joining our client-focused teams.
Marsh McLennan and its affiliates are EOE Minority/Female/Disability/Vet/Sexual Orientation/Gender Identity employers.
#MMAMCG
The applicable base salary range for this role is $39,200 to $68,500.The base pay offered will be determined on factors such as experience, skills, training, location, certifications, education, and any applicable minimum wage requirements. Decisions will be determined on a case-by-case basis. In addition to the base salary, this position may be eligible for performance-based incentives.We are excited to offer a competitive total rewards package which includes health and welfare benefits, tuition assistance, 401K savings and other retirement programs as well as employee assistance programs.Applications will be accepted until:February 28, 2026
Auto-ApplyCommercial Insurance Billing Specialist (remote)
Raleigh, NC jobs
Company:Marsh McLennan AgencyDescription:
Our not-so-secret sauce.
Award-winning, inclusive, Top Workplace culture doesn't happen overnight. It's a result of hard work by extraordinary people. The industry's brightest talent drives our efforts to deliver purposeful work and meaningful impact every day. Learn more about what makes us different and how you can make your mark as an Insurance Billing Specialist at McGriff Specialty, a division of Marsh McLennan Agency (MMA).
Marsh McLennan Agency (MMA) provides business insurance, employee health & benefits, retirement, and private client insurance solutions to organizations and individuals seeking limitless possibilities. With offices across North America, we combine the personalized service model of a local consultant with the global resources of the world's leading professional services firm, Marsh McLennan (NYSE: MMC).
A day in the life.
As our Insurance Billing Specialist on the McGriff Specialty Insurance Billing team, you'll generate entries for premiums, fees, and/or commissions accurately and efficiently. Research billing discrepancies or issues, provide solutions, and communicate to stakeholders to ensure accurate billing, commission posting, and related financial reporting.
Our future colleague.
We'd love to meet you if your professional track record includes these skills:
High school diploma or equivalent education, training and work-related experience
Commercial Property & Casualty Insurance experience
Commercial Insurance Billing experience
Highly effective written and verbal communication skills
Proven ability to act with responsiveness, urgency and professionalism in all matters while prioritizing responsibilities and proactively accomplishing goals
Strong work ethic, exhibited through acceptable attendance, management of appropriate workload, and willingness to admit mistakes and take ownership of performance
Demonstrated proficiency in basic computer applications, such as Microsoft Office software products
These additional qualifications are a plus, but not required to apply:
Familiarity with general accounting principles
Knowledge of Insurance Billing systems
We know there are excellent candidates who might not check all of these boxes. Don't be shy. If you're close, we'd be very interested in meeting you.
Valuable benefits.
We value and respect the impact our colleagues make every day both inside and outside our organization. We've built a culture that promotes colleague well-being through robust benefit programs and resources, encourages professional and personal development, and celebrates opportunities to pursue the projects and causes that give colleagues fulfilment outside of work.
Some benefits included in this role are:
Generous time off, including personal and volunteering
Tuition reimbursement and professional development opportunities
Hybrid Work
Charitable contribution match programs
Stock purchase opportunities
To learn more about a career at McGriff, a division of Marsh McLennan Agency, check us out online: ************************
To view additional career opportunities, visit *************************** or flip through our recruiting brochure: ********************************************************************
Follow us on social media to meet our colleagues and see what makes us tick:
Instagram
Facebook
X
LinkedIn
Who
you
are is who
we
are.
We embrace a culture that celebrates and promotes the many backgrounds, heritages and perspectives of our colleagues and clients. We are always seeking those with ethics, talent, and ambition who are interested in joining our client-focused teams.
Marsh McLennan and its affiliates are EOE Minority/Female/Disability/Vet/Sexual Orientation/Gender Identity employers.
#MMAMCG
The applicable base salary range for this role is $39,200 to $68,500.The base pay offered will be determined on factors such as experience, skills, training, location, certifications, education, and any applicable minimum wage requirements. Decisions will be determined on a case-by-case basis. In addition to the base salary, this position may be eligible for performance-based incentives.We are excited to offer a competitive total rewards package which includes health and welfare benefits, tuition assistance, 401K savings and other retirement programs as well as employee assistance programs.Applications will be accepted until:February 28, 2026
Auto-ApplyInsurance Billing & Payments Specialist
Scottsdale, AZ jobs
Join Our Team as Insurance Billing & Payments Specialist at Stealth Partner Group, an Amwins Group Company! Are you ready to take the next step in your career? Join Stealth Partner Group, an Amwins Group Company, as an Insurance Billing & Payments Specialist. Based in Scottsdale, AZ, this in-office position offers the flexibility to work from home up to 2 days a week, after completing training. Why Choose Amwins? At Amwins, we value our team members and offer a range of benefits to enhance your work experience:
Flexibility: Enjoy a hybrid work environment with flexible scheduling options.
Comprehensive Benefits: Access a competitive benefits package from day one, including generous Paid Time Off (PTO) and paid holidays.
Continual Learning: Thrive in a collaborative, education-focused work environment.
Annual Bonus Program: Earn rewards through our bonus program.
Learn more about us at stealthpartnergroup.com and amwins.com.
Responsibilities: As an Insurance Billing & Payments Specialist, you will:
Detailed Premium File Management: Manage and handle all premium files, including online and manual file setup by client and plan year.
Statement Review and Disbursement: Review backup statements for accuracy and disburse funds among multiple accounts quickly and accurately.
Commission Process Assistance: Assist with the commission process for late payments and diligently follow up on outstanding receivables.
Premium Issue Coordination: Assist Account Management with coordination and resolution of all premium issues.
Reconciliation Support: Assist with the reconciliation of Cornerstone Assurance Group (CAG) block of business.
Adherence to Accounting Policies: Adhere to a documented system of accounting policies, controls, procedures, and accounting filing systems.
Bank Wire and Deposit Processing: Assist the Director of Premiums with initiating and processing bank wire and deposits.
File Compilation: Compile both electronic and manual files for each group.
Adaptability and Team Collaboration: Handle other projects and duties as assigned, showcasing adaptability and strong collaboration skills.
Qualifications To excel in this role, you'll need:
Relevant Experience: At least 1 year of AR/AP/Reconciliation/Billing experience is required.
Educational Background: A bachelor's degree in accounting, Finance, or a related field is strongly preferred.
Industry Knowledge: Experience working in the insurance industry and/or at a Carrier or Third-Party Administrator is a plus.
Eagerness to Learn: A passion for learning our business model and understanding the products we work with is a necessity.
Organization and Attention to Detail: Excellent organization skills and attention to detail are required.
Teamwork Skills: Strong teamwork skills with the ability to work cooperatively alongside various staff members.
Multi-tasking Ability: Ability to multi-task and actively manage/prioritize workloads in a high-volume environment.
Communication Skills: Ability to effectively communicate, both written and verbally, with internal and external parties.
Tech Proficiency: Proficient in Microsoft Office programs (Word, Excel, Outlook, etc.).
The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities, or physical requirements. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Group Insurance Billing Representative
Brookfield, WI jobs
Job Description
Even in the midst of our growth, NIS has upheld the high standards and family values we started with in 1969: ethics, compassion, hard work, passion, optimism, and community altruism. Our commitment has always been and will always be to do the right thing for clients, partners, employees, and the community.
Please join our Billing department in our Brookfield, WI office!
At NIS, our focus is always on the well-being of clients, associates, employees, and the community.
Enjoy a comprehensive benefits package, which includes:
Medical, Dental, Vision, and ancillary benefits
Company paid Life and Disability insurance
401(k) with a Company Match
Participation in a Wellness program
Eligibility for Tuition Assistance
Paid Time Off
Generous holiday calendar with the option for floating holidays to promote work-life balance
Join us at our new Brookfield Office Location!
This position offers hybrid work options following the training period and with Management approval.
Compensation- $45,000 Yearly pay (this is an hourly position which is eligible for OT)+ annual bonus potential
Compensation:
$45,000 yearly plus annual bonus potential
Responsibilities:
Process enrollment applications, terminations, and changes accurately and in line with policy limitations, following up for any additional information as needed
Review bill reports received to ensure precise calculation of reported lives, volume, and premium paid, and reach out to clients as necessary for monthly reconciliation
Validate EE eligibility and coverage/premium data for carriers on received claims
Timely and professional response to internal and external customer inquiries via phone calls and emails
Strong attention to detail, accuracy, and effective time management skills
Qualifications:
A college degree or relevant college coursework focused on math/accounting is preferred.
Previous experience in an insurance enrollment/premium billing department or knowledge of insurance industry practices is a plus
Demonstrated ability to efficiently manage multiple tasks in a fast-paced environment is crucial
The role highly values strong critical thinking skills and meticulous attention to detail
Proficiency in MS Office applications (such as Word and Excel) and data entry is mandatory, with a willingness to adapt to new software
Excellent verbal and written communication skills in English are essential qualifications for this position
About Company
Please visit our website to learn more about National Insurance Services!
National Insurance Services: ***************************
Billing Specialist (Onsite)
Syracuse, NE jobs
Job Details Syracuse Area Health - Syracuse, NE Full Time DaysDescription
Responsible for the insurance billing process between the hospital and insurance companies, federal agencies & third-party payers. Audit patient accounts to ensure procedure, charges and coding procedures are accurate. Collects payment from commercial insurance, state & federal agencies.
This position if a full-time, benefited position. Hours are Monday - Friday 8:00am - 4:30pm, 40 hours per week. No weekends and no Holidays!
Qualifications
High school diploma or equivalent
Associates degree preferred
3 years business office experience with insurance/collection experience is required
Word processing: excel knowledge, and basic windows-based computer skills
Independent problem-solving skills and self-directed work experience
Excellent written and verbal communication skills
Well organized and detail oriented
Member Ops Billing & Enrollment Associate
Schenectady, NY jobs
At MVP Health Care, we're on a mission to create a healthier future for everyone which requires innovative thinking and continuous improvement. To achieve this, we're looking for a Member Operations Billing & Enrollment Associate to join #TeamMVP. This is the opportunity for you if you have a passion for commitment to serving the customer effectively, strong analytical and problem solving skills and the ability to prioritize multiple assignments with attention to detail.
**What's in it for you:**
+ Growth opportunities to uplevel your career
+ A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team
+ Competitive compensation and comprehensive benefits focused on well-being
+ An opportunity to shape the future of health care by joining a team recognized as a **Best Place to Work For in the NY Capital District** , one of **the Best Companies to Work For in New York** , and an **Inclusive Workplace** .
**What's in it for you:**
+ Growth opportunities to uplevel your career
+ A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team
+ Competitive compensation and comprehensive benefits focused on well-being
+ An opportunity to shape the future of health care by joining a team recognized as a **Best Place to Work For in the NY Capital District** , one of **the Best Companies to Work For in New York** , and an **Inclusive Workplace** .
**Qualifications you'll bring:**
+ Associates degree preferred. Equivalent amount of education and related experience may be considered.
+ Two years accounts receivable experience (or related field) in a service capacity dealing directly with internal and/or external customers, including two years data entry experience.
+ Strong analytical and problem-solving skills.
+ Ability to prioritize multiple assignments and perform a variety of tasks with close attention to detail.
+ Excellent customer service/telephone skills and ability to deal with stressful phone calls in a calm and diplomatic manner.
+ Familiarity with healthcare benefits and/or medical terminology.
+ Excellent computer experience including MS Excel, MS Word.
+ Curiosity to foster innovation and pave the way for growth
+ Humility to play as a team
+ Commitment to being the difference for our customers in every interaction
**Your key responsibilities:**
+ 1-2 years relevant insurance, medical or healthcare experience
+ Experience with Facets
**Your key responsibilities:**
+ This position serves under Member Operations, directly supporting the Customer Billing & Enrollment team. The role will be responsible for completing the team's daily workload, including enrollment, billing, and payment-related transaction processing, reconciliation, and research for all assigned accounts.
+ The individual will work closely with multiple internal departments to provide excellence in servicing all MVP customers, including member direct bill and employer group accounts. They will interact directly with MVP customers to ensure correct enrollment, billing, payment allocation, and collection activity.
+ Duties include accurately processing reconciliations and/or enrollment transactions daily, maintaining weekly and monthly Excel spreadsheets, processing terminations, multi-tasking projects, and completing contact service forms within the department. The individual must be able to collaborate as a team player or work independently.
+ Emphasis on discrepancy root cause determination and remediation. The role requires meeting departmental quality control standards and turnaround times.
+ This role also directly supports the cash team by processing check deposits on a regular basis in the Schenectady office.
+ Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer.
**Where you'll be:**
Virtual; based out of Schenectady, NY or Rochester, NY
**Pay Transparency**
MVP Health Care is committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. MVP adheres to pay transparency nondiscrimination principles. Specific employment offers and associated compensation will be extended individually based on several factors, including but not limited to geographic location; relevant experience, education, and training; and the nature of and demand for the role.
We do not request current or historical salary information from candidates.
**MVP's Inclusion Statement**
At MVP Health Care, we believe creating healthier communities begins with nurturing a healthy workplace. As an organization, we strive to create space for individuals from diverse backgrounds and all walks of life to have a voice and thrive. Our shared curiosity and connectedness make us stronger, and our unique perspectives are catalysts for creativity and collaboration.
MVP is an equal opportunity employer and recruits, employs, trains, compensates, and promotes without discrimination based on race, color, creed, national origin, citizenship, ethnicity, ancestry, sex, gender identity, gender expression, religion, age, marital status, personal appearance, sexual orientation, family responsibilities, familial status, physical or mental disability, handicapping condition, medical condition, pregnancy status, predisposing genetic characteristics or information, domestic violence victim status, political affiliation, military or veteran status, Vietnam-era or special disabled Veteran or other legally protected classifications.
To support a safe, drug-free workplace, pre-employment criminal background checks and drug testing are part of our hiring process. If you require accommodations during the application process due to a disability, please contact our Talent team at ******************** .
**Job Details**
**Job Family** **Claims/Operations**
**Pay Type** **Hourly**
**Hiring Min Rate** **20 USD**
**Hiring Max Rate** **24 USD**
Member Ops Billing & Enrollment Associate
Schenectady, NY jobs
What's in it for you: Growth opportunities to uplevel your career A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team Competitive compensation and comprehensive benefits focused on well-being
An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work For in the NY Capital District, one of the Best Companies to Work For in New York, and an Inclusive Workplace.
Qualifications you'll bring:
Associates degree preferred. Equivalent amount of education and related experience may be considered.
Two years accounts receivable experience (or related field) in a service capacity dealing directly with internal and/or external customers, including two years data entry experience.
Strong analytical and problem-solving skills.
Ability to prioritize multiple assignments and perform a variety of tasks with close attention to detail.
Excellent customer service/telephone skills and ability to deal with stressful phone calls in a calm and diplomatic manner.
Familiarity with healthcare benefits and/or medical terminology.
Excellent computer experience including MS Excel, MS Word.
Curiosity to foster innovation and pave the way for growth
Humility to play as a team
Commitment to being the difference for our customers in every interaction
Your key responsibilities:
1-2 years relevant insurance, medical or healthcare experience
Experience with Facets
Your key responsibilities:
This position serves under Member Operations, directly supporting the Customer Billing & Enrollment team. The role will be responsible for completing the team's daily workload, including enrollment, billing, and payment-related transaction processing, reconciliation, and research for all assigned accounts.
The individual will work closely with multiple internal departments to provide excellence in servicing all MVP customers, including member direct bill and employer group accounts. They will interact directly with MVP customers to ensure correct enrollment, billing, payment allocation, and collection activity.
Duties include accurately processing reconciliations and/or enrollment transactions daily, maintaining weekly and monthly Excel spreadsheets, processing terminations, multi-tasking projects, and completing contact service forms within the department. The individual must be able to collaborate as a team player or work independently.
Emphasis on discrepancy root cause determination and remediation. The role requires meeting departmental quality control standards and turnaround times.
This role also directly supports the cash team by processing check deposits on a regular basis in the Schenectady office.
Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer.
Where you'll be:
Virtual; based out of Schenectady, NY or Rochester, NY
Billing Specialist (Vendor Management)
Lafayette, LA jobs
Acadian Client Services has an immediate opening for a full-time Vendor Management Billing Specialist to join their team in Lafayette, LA.
Job Location: Lafayette, LA - This position is based in the office, Monday-Friday, 8:00am-5:00pm. This is NOT a Work from Home position.
Summary of Duties: The Vendor Management Billing Specialist is responsible for auditing and increasing the quality standards within the revenue cycle department by reviewing claims processes, billing protocols, and write off protocols are followed according to established policies. This position will independently review claims and make recommendations to senior leadership on process improvements or educational opportunities.
Essential Functions:
Responsible for claim status checks as needed to ensure proper resolution
Initiating contact with insurance providers as needed
Review and process claim rejections and appeals for research and resolution
Monitor payment discrepancies and process payments
Review claims for Federal compliance
Process incoming correspondence and phone calls specific to the payer type
Verification of patient insurance
Ensure accuracy of demographic information
Other duties and responsibilities as assigned
Qualifications:
High school diploma or equivalent
Previous medical billing experience preferred
Proficient in Google, MS Office Suite or related software
Possess strong organizational skills
Punctual with strong attendance history
Ability to adhere to productivity goals, departmental and company guidelines, dress code, policy and procedures
Excellent interpersonal skills and time management
Maintain highest level of confidentiality
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Billing Specialist (Medicaid)
Lafayette, LA jobs
JOP OPENING: Billing Specialist (LA/TN/MS Medicaid)
JOB SUMMARY: Responsible for processing and resolving insurance claims. Ensuring proper payment of claims, appealing of denials and resolution of claims. JOB LOCATION: This position is based in the office, located in Lafayette, LA. The hours are Monday-Friday, 8am-5pm. This is NOT a Work From Home position.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Responsible for claim status checks as needed to ensure proper resolution
Initiating contact with insurance providers as needed
Review and process claim rejections and appeals for research and resolution
Monitor payment discrepancies and process payments
Review claims for Federal compliance
Process incoming correspondence and phone calls specific to the payer type
Verification of patient insurance
Ensure accuracy of demographic information
Other duties and responsibilities as assigned
QUALIFICATIONS:
High school diploma or equivalent
Previous medical billing experience preferred
Proficient in Google, MS Office Suite or related software
Ability to communicate clearly and concisely
Ability to establish and maintain working relationships with coworkers and patients
Punctual with strong attendance history
Ability to adhere to productivity goals, departmental and company guidelines, dress code, policies and procedures
Excellent interpersonal skills and time management
Maintain highest level of confidentiality
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Direct Bill Specialist
Huntingtown, MD jobs
Working at RCM&D and Unison Risk Solutions is ideal for those seeking a challenging, rewarding and upwardly mobile career in risk management, insurance and employee benefits. Dedicated to fostering their continued success and growth, we are deeply invested in our employees.
Job Summary
RCM&D is currently searching for a Direct Bill Specialist in our Accounting department. Responsibilities include building and maintaining strong relationships with carriers and clients to ensure accuracy in applying revenue and efficiency in billing processes.
Essential Functions
Work with client coordinators to ensure policy set up in agency management system aligns with policy detail on commission statements
Work with carriers to resolve commission discrepancies
Prepare remittance for commission payments owed to carriers
Apply commissions received from carriers
Assist with application of client receipts
Additional job duties as assigned
Minimum Education/Abilities/Skills
Associate's degree in Accounting or Finance is preferred; or high school diploma with 3+ years of insurance knowledge/industry experience
Minimum of two years' experience in Accounting or Finance, preferably in the Insurance industry
Proficiency with Microsoft Office Suite, with strong Excel skills
Additional Qualifications
Possess strong oral and written skills, as well as solid interpersonal skills
Communicates clearly with internal and external clients
Resourceful and capable of working independently and collaboratively
Demonstrates solid time management skills and is able to work under pressure to meet deadlines and deliverables
RCM&D, a Unison Risk Advisors company and founding member of Assurex Global, is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
Finding and cultivating talent is a hallmark of our organization. RCM&D looks for the best and brightest risk management, insurance and employee benefits professionals to join our firm. As a growing and vibrant business, we also recruit savvy marketing, sales, finance, human resources, technology and administrative colleagues to manage and operate our business.
Auto-ApplyIndividual Eligibility and Billing Analyst
Boise, ID jobs
Looking for a way to make an impact and help people?
Join PacificSource and help our members access quality, affordable care!
PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths.
Provide support to the Individual Billing and Service team, Customer Service, Information Technology, and Sales departments. Audit, evaluate, and report the accuracy of the Individual team's processes and make recommendations for process improvement. Work with IT, Facets Business Support, and external vendors on configuration changes, interfaces, and reports. Ability to perform all functions of the Individual Billing and Service positions.
Essential Responsibilities:
Perform audits of job functions as determined necessary by Manager. Document outcomes of audits and prepare reports for Manager and Team Leaders. Create and maintain documentation of audit processes.
Analyze and resolve eligibility and billing discrepancies, and identify training opportunities.
Take a lead role in assisting Facets Business Support and IT teams with testing and validation of interface changes, defects, system upgrades, reports, and billing configuration. Work with outside vendors when interface is used to communicate member data, such as e-Health. Diagnose and resolve data issues on files and website content.
Work with Actuarial team to review monthly rate audit, and make corrections as needed.
Knowledge of data and functionality in PSE, OnBase, EMS, and Facets. Identify operational improvements that support department objectives.
Participate in the Mentor Team, developing and presenting lessons as needed.
Assist with the annual renewal process, reviewing NOC letters, member moves or discontinuance, and auditing records to identity and resolve discrepancies. Determine if new classes are needed and provide data to Group Processing Specialists for data entry.
Attend conference calls with CMS and state based exchange workgroups, including YHI and WAHBE.
Create documentation for new processes as needed. Update existing documentation, and review documentation written by others within the department for accuracy. Analyze new processes to ensure efficiency and effectiveness.
Verify residency of members on an as needed basis. Process rescissions following all legal requirements.
Process billing & delinquency suspend requests. Monitor delinquency and suspend reports, ensuring compliance with legal notification requirements.
Prepare documents for imaging and attach properties to documents in OnBase.
Provide excellent internal and external customer service via email, phone, and fax.
Monitor various other reporting.
Supporting Responsibilities:
Meet department and company performance and attendance expectations.
Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information.
Provide back-up support as needed for Commercial Enrollment & Billing Department.
Serve on various interoffice committees as required or needed.
Perform other duties as assigned.
Work Experience: At least two years of closely related insurance experience and/or accounting experience required.
Education, Certificates, Licenses: High school diploma or equivalent required.
Knowledge: Understanding of PacificSource products, plan designs, Individual contracts, eligibility guidelines, billing functions, accounts receivable, and health insurance terminology. Requires ability to perform all functions of the Individual Billing Specialist and Individual Service Representative positions. Ability to work independently as well as within a team. Require intermediate level experience using Excel, creating spreadsheets, using formulas, pivot tables and performing data comparisons. Keyboarding and 10-key skills required.
Competencies:
Building Customer Loyalty
Building Strategic Work Relationships
Contributing to Team Success
Planning and Organizing
Continuous Improvement
Adaptability
Building Trust
Work Standards
Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 5% of the time.
Skills:
Accountability, Collaboration, Communication (written/verbal), Flexibility, Listening (active), Organizational skills/Planning and Organization, Problem Solving, Teamwork
Our Values
We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business:
We are committed to doing the right thing.
We are one team working toward a common goal.
We are each responsible for customer service.
We practice open communication at all levels of the company to foster individual, team and company growth.
We actively participate in efforts to improve our many communities-internally and externally.
We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community.
We encourage creativity, innovation, and the pursuit of excellence.
Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.
Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.
Auto-ApplyMedical Billing Specialist
Norwood, MA jobs
The Panther Group is hiring for a Medical Billing Specialist, or Insurance Recovery Analysts (IRA), with experience in General Liability Claims, Workman's Compensation & Motor Vehicle. The IRAs are responsible for processing commercial, governmental and/or third-party liability (workman's compensation, general liability, and motor vehicle liability) medical claims. This position ensures that ClaimAssist's clients (hospitals) recover the maximum allowable medical fees in the most timely, efficient, and confidential manner.
ESSENTIAL FUNCTIONS:
Investigates, negotiates, bills and follows-up for payment regarding first and third-party claims involving any and all coverages, liability, and legal issues.
Identifies viable payers, obtains IBs, UBs, HCFAs, correspondence, and medical records when necessary.
Maintains the highest level of privacy in accordance with HIPAA requirements and laws.
Works their inventory by route while maintaining an acceptable level of aged accounts receivable.
Contacts patients, payers, hospitals, attorneys, employers, and any other parties involved to collect the necessary information and ensure reimbursement for our client.
Recovers maximum dollars for the hospital through coordination of benefits in a timely manner.
Appeals claims when applicable.
Meets monthly company, team, and individual goals, and all deadlines set by the Team Lead and Manager, Operations.
Completes special projects, as requested.
QUALIFICATIONS:
Minimum of four (4) years of directly related industry experience.
Emdeon/ChangeHealthcare billing experience is a plus.
EPIC, CERNER and/or MEDITECH experience is a plus.
Experience working claims in multiple states is a plus.
Strong technical knowledge in one or more areas of commercial insurance, government insurance, workman's compensation, motor vehicle liability, general liability and claims processing systems.
Knowledge of medical and insurance terminology.
Knowledge of coordination of benefits.
Working knowledge of FACS (ClaimAssist's host system) or comparable management software system.
Ability to speak confidently over the phone
Basic knowledge of Microsoft Excel and Word.
Ability to provide quality customer service to all parties.
Ability to work in a fast-paced environment
Demonstrated knowledge of state laws and insurance statutes.
Excellent interpersonal and verbal/written communications skills.
Highly motivated, self-starter, organized and detail-oriented.
Ability to work well individually, as well as part of a team.
Coachable: receptive to feedback, willing to learn, embraces continuous improvement, and responsive to change.
EDUCATION REQUIREMENTS:
Bachelor's degree in business or related field preferred
High school or equivalent is required
Insurance Institute Certificate(s) highly desirable.
Pay Rate: $22.00-$24.00 (depending on experience) PLUS monthly Bonus
#INDPROF
Pharmacy Billing Specialist/PHAR TCH
Brewer, ME jobs
Northern Light Health Department: Pharmacy - Administration Cianchette Professional Blding Work Type: Full Time Hours Per Week: 40 Work Schedule: No Hours Assigned Responsible for ensuring the integrity of pharmacy billing operations, and revenue for organizations across Northern Light Health. Position is focused on financial accuracy in billing and claims. Auditing and reconciling departmental charges, analyzing claim denials, and ensuring billing compliance to maximize revenue and prevent financial loss. Responsibilities include price updates, accurate NDC assignment to the bill, assist with third party audits, review pharmacy data and ensure appropriate charges and evaluating savings and pricing opportunities. This position is also responsible for creating and sharing reports with appropriate staff members. Other duties as assigned.
Responsibilities:
* Audits Outpatient Chemotherapy and Infusion centers for correct charges and reimbursement.
* Works across teams to resolve claim denials.
* Use Pharmacy Pricing Policy to determine patient charges.
* Assist with third party audits in relation to pharmacy transactions in a timely manner.
* Investigate, resolve, review charge errors to correct charge process issues.
* Use of the Daily Exceptions Report to flag high volume/high dollar transactions.
* Troubleshoot posting errors and resolve.
* Maintain supporting detail for audits or analysis.
* Involved with new processes and training for all other MOs.
* Other Duties.
Other Information:
* Pharmacy Technician License with Maine Board of Pharmacy.
* Certified Pharmacy Technician (CPhT) preferred.
Competencies and Skills
* Adobe Acrobat
* Electronic medical record software.
* Demonstrates Adaptability: Learns quickly when facing a new problem or unfamiliar task; is flexible in their approach with changing priorities and ambiguity. Manages change effectively and does not give up during adversity. Capable of changing one's behavioral style and/or views in order to attain a goal. Absorbs new information readily and puts it into practice effectively.
* Effectively Communicates: Listens, speaks and writes appropriately, using clear language. Communication methods are fitting to the message(s), audience, and situation and follow-ups are regular and timely. Shows that important (non-) verbal information is absorbed and understood and asks further questions to clarify when necessary. Expresses ideas and views clearly to others and has ability to adjust use of language to the audiences' level.
* Human Capital, Supply Chain and Financial Software.
* Spreadsheet application with the ability to use calculations, formulas, graphing tools, pivot tables, and a macro programming.
* Word processing, spreadsheets, data entry, database experience and other computer related skills.
* Email application with the ability to manage email as well as calendars, managing tasks and contacts, note taking, journaling, and web browsing.
* MS Teams
* Word process application with the ability to create and edit documents, format, use tables, apply footnoting, create table of contents and mail merge techniques.
* Siemens Clinical software.
* Utilizes Resources Effectively: Understands how to get the most out of available resources and uses cost-benefit thinking in decision-making and in setting priorities. Monitors and analyzes resource usage to identify and eliminate areas of waste and maximize resources. As a leader, defines targets and provides appropriate means; oversees progress and makes adjustments when necessary. Appropriately delegates work, sets clear direction and manages workflow and time.
* Behaves with Integrity and Builds Trust: Acts consistently in line with the core values, commitments and rules of conduct. Leads by example and tells the truth. Does what they say they will, when and how they say they will, or communicates an alternate plan.
* Cultivates Respect: Treats others fairly, embraces and values differences, and contributes to a culture of belonging, empowerment, and cooperation.
* Fosters Accountability: Creates and participates in a work environment where people hold themselves and others accountable for processes, results and behaviors. Takes appropriate ownership not only of successes but also mistakes and works to correct them in a timely manner. Demonstrates understanding that we all work as a team and the quality and timeliness of work impacts everyone involved.
* Practices Compassion: Exhibits genuine care for people and is available and ready to help; displays a deep awareness of and strong willingness to relieve the suffering of others.
Credentials
* Required Pharmacy Technician
Education
* Required High School Diploma/General Educational Development (GED) Associate or bachelor's degree in related fields preferred.
Required Experience
* 5 year/years of Relevant Work Experience
Working Conditions
* Potential exposure to hazardous materials.
* Work with computers, typing, reading or writing.
* Prolonged periods of sitting.
* Lifting, moving and loading less than 20 pounds.
Brewer, Maine, Corporate Office, Cianchette, Foundation, Finance, Human Resources, Legal Services
Car Biller/Billing Clerk
Columbia, SC jobs
CAR BILLER / BILLING CLERK
Competitive Pay Plan Based on Experience + Great Benefits! Experience Required
Jim Hudson Automotive needs to hire a Car Biller/Billing Clerk to start immediately. Our primary concern is the satisfaction of our customers and we are looking for professionals that are committed to the same level of excellence. If you're interested in joining our growing team, Apply Online now, and be sure to complete the online assessment and upload your Resume!
We believe culture makes a difference and we strive to build lasting relationships with our employees, customers, and the community. We value our employees and invest in their success.
We offer:
Competitive pay plan based on experience
Pay rate: $20+per hour
Medical, Dental and Vision Insurance
$25K employer paid life insurance
Disability Insurance
401(k) retirement plan with employer match
Employee Assistance Program
Employee Assistance Fund
Flexible Scheduling
Corporate Chaplain
Paid Vacation and Personal Leave
Paid Holidays
Career advancement opportunities
A positive and professional work environment
Training
Responsibilities - Car Biller:
Costing and finalizing deals into accounting
Manage and maintain schedules
Month-End closing Activities
Payoff flooring
Perform various other accounting functions as needed
Requirements
Requirements - Car Biller:
Car billing experience required
Reynolds & Reynolds experience preferred
Excellent communication and customer service skills
Understand deadlines and be able to apply appropriate sense of urgency to all tasks
Professional appearance and work ethic
Strong attention to detail
Must be organized, dependable, and detail-oriented
Must enjoy working in a team and multi-tasking
Must be authorized to work in the U.S. without sponsorship and be a current resident.
Must pass pre-employment testing to include background checks, MVR, and drug screen.
We are an Equal Opportunity Employer
. All qualified applicants considered regardless of ethnicity, nationality, gender, veteran or disability status, religion, age, gender orientation or other protected status.
Salary Description $20+ per hour based on experience
Billing Specialist
Springfield, IL jobs
Analyzes, investigates, and resolves claims/billing information and/or errors associated with the more complex inpatient/outpatient medical insurance claims. Ensures compliance with managed care guidelines and MMC organizational policies. Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values.
Qualifications
Education:
· Education equivalent to graduation from high school or GED is required.
Licensure/Certification/Registry:
Experience:
· Two or more years as a Billing Specialist (or comparable medical claims/billing experience), with the technical knowledge to process all types of applicable claims and resolve errors and complex issues associated with them.
Other Knowledge/Skills/Abilities:
· Demonstrates thorough knowledge of medical terminology, medical procedural (CPT) and diagnosis (ICD-9 CM) coding, and hospital billing claim form UB04 is required.
· Demonstrates a comprehensive knowledge of the electronic billing system and key contract billing guidelines and possess the ability to train others on the entire billing process.
· Basic working knowledge of personal computers and their associate user software is required. Experience with Microsoft Office products Word and Excel is preferred.
· Ability to work within the guidelines of defined managed care contract policy provisions and company procedures.
· Demonstrates ability to work successfully with internal customers and external contacts is required.
· Possesses a highly-developed detail orientation, critical thinking, and problem solving ability.
· Demonstrates excellent oral and written communication, keyboarding, and basic math skills.
· Demonstrates ability to work unsupervised as well as the ability to work in a group setting.
Responsibilities
Receives and examines daily listings for assigned billing claims and determines which require further analysis and action.
Investigates assigned billing claims with incomplete/incorrect information and resolves the more complex problems or errors to ensure complete and compliant information accompanies the claim.
Prioritizes claims based on specified criteria and files the claim, either electronically or via paper claim. Ensures careful adherence to insurance guidelines, timeliness, accuracy, and processing procedures.
Researches and resolves complex issues associated with patient insurance accounts. As applicable, identifies, documents, and reports problematic trends to management.
Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values:
SAFETY:
Prevent Harm
- I put safety first in everything I do. I take action to ensure the safety of others.
COURTESY:
Serve Others
- I treat others with dignity and respect. I project a professional image and positive attitude.
QUALITY:
Improve Outcomes
- I continually advance my knowledge, skills and performance. I work with others to achieve superior results.
EFFICIENCY:
Reduce Waste
- I use time and resources wisely. I prevent defects and delays.
Analyzes reports containing rejected account information and performs the necessary research to resolve the reason(s) for the rejection and secures any other required information.
Provides input regarding system edits designed to identify and ensure consistent and compliant data necessary for processing medical insurance claims.
Responds to requests from internal departments regarding the proper coding, billing, and processing of medical insurance claims.
Communicates and resolves issues with a variety of internal and external sources regarding medical insurance claims. This may include internal departments, patients (or other responsible parties), third-party payors, social service agencies, Medicare/Medicaid staff, other insurance carriers, service providers, and collection agencies.
Initiates corrections to charges and contractuals / allowances within scope of expertise and authority granted.
Identifies and researches the appropriateness of late charges and, as necessary, adjusts the charge / patient account based on research findings
Identifies and calculates write-off amounts and secures the necessary approvals from management for processing.
Documents online systems and electronic files to ensure accurate data is noted regarding the status of claims and payments.
Ensures compliance to managed care contract guidelines and processes at each work step to facilitate accurate and timely reimbursements to the organization.
May assist with special projects, analyses, or audits.
As directed and defined by management, orients and cross-trains on other unit duties which are outside of regularly assigned area of responsibility. May serve as a back-up for other areas within the unit or department, especially during times of special needs or staff absences.
Performs other related work as required or requested.
The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job. Incumbents may be requested to perform tasks other than those specifically presented in this description.
Not ready to apply? Connect with us for general consideration.
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