Billing Specialist jobs at HUB International - 497 jobs
Insurance Specialist I - Corporate Patient AR Mgmt - Full Time
Guthrie 3.3
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 BillingSpecialist 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 BillingSpecialist 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.
$34k-47k yearly est. 4d ago
Looking for a job?
Let Zippia find it for you.
Large Loss Claim Resolution Specialist, Personal Property
Liberty Mutual Insurance 4.5
New York, NY jobs
In this role, you will manage, investigate, and resolve assigned Property Contents Claims that present high exposure or more complex under limited supervision. You will inspect, compile and value inventory of damaged/lost contents associated with property claims and provide policyholders with exceptional customer service. You may assist Claims Representatives with in-person inspection/policyholder contact where necessary, and act as technical resource for other Contents Specialists.
Training is a critical component to your success and that success starts with reliable attendance. Attendance and active engagement during training is mandatory.
Employees may apply for a new role after completing 12 months of employment in their current position.
This is a field position and the ideal candidate must reside within the territories mentioned.
Responsibilities:
Handles a majority of large loss claims assigned under little supervision.
Investigates, determines coverage of loss, and adjusts all elements of Property Loss claims of high severity.
Performs full on-site inventory inspection and scope of damages and able to communicate such to both policyholders and vendors.
Provides quality customer service. Provides insured with policy information to include coverage, limitations, and able to explain settlement effectively.
Oversees coordination of contents vendors, some which are third-party -including contractors, emergency repair teams, and cleaning services, negotiates service scopes and estimates, monitors performance, and ensure compliance with contract terms and safety standards.
May be asked to perform field assist on files handled by other property departments with in-person inspection and/or policyholder contact when needed.
Takes initiative to stay current on personal‑property standards, market trends, and products through continuing education, seminars, and industry publications.
Qualifications
Strong written and oral communications skills required.
Good interpersonal, analytical and negotiation skills required
Effective negotiation skills.
Customer service experience preferred
Knowledge of coverages provided within various homeowner policies.
Ability to effectively and independently manage workload while exhibiting good judgment.
Experience in interior design, electronics, appliances, antique-collectibles, clothing and furniture retail preferred.
The capabilities, skills and knowledge required is normally acquired through a Bachelor's degree or equivalent experience
Ability to obtain proper licensing as required.
Completion of advanced property training.
About Us
Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.As a purpose-driven organization, Liberty Mutual is committed to fostering an environment where employees from all backgrounds can build long and meaningful careers. Through strong relationships, comprehensive benefits and continuous learning opportunities, we seek to create an environment where employees can succeed, both professionally and personally.At Liberty Mutual, we believe progress happens when people feel secure. By providing protection for the unexpected and delivering it with care, we help people embrace today and confidently pursue tomorrow.We are dedicated to fostering an inclusive environment where employees from all backgrounds can build long and meaningful careers. By actively seeking employee feedback and amplifying the voices of our seven Employee Resource Groups (ERGs), which are open to all, we create an environment where every individual can make a meaningful impact so we continue to meet the evolving needs of our customers.We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: ****************************** Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law.Fair Chance Notices
California
Los Angeles Incorporated
Los Angeles Unincorporated
Philadelphia
San Francisco
#J-18808-Ljbffr
$34k-43k yearly est. 1d ago
Billing Specialist
The Phoenix Group 4.8
New York, NY jobs
Join a dynamic financial operations team supporting legal professionals and their clients. This role centers on managing client financial interactions, with a focus on invoicing, digital billing platforms, and payment tracking.
Key Responsibilities
Prepare and submit client invoices, including digital formats, ensuring precision and timeliness
Oversee billing workflows, monitor deadlines, and provide status updates on outstanding accounts
Review and interpret custom billing agreements with a critical eye for detail
Serve as a point of contact for internal stakeholders, resolving process-related issues and supporting system enhancements
Collaborate directly with designated legal professionals to manage account lifecycles-from initial setup through payment coordination and account reconciliation
Candidate Profile
At least 2 years of experience in billing within a legal or consulting environment
Familiarity with enterprise financial platforms (e.g., Elite 3E, Aderant, eBillingHub)
Exposure to international billing practices and currency variations is advantageous
Strong analytical skills for interpreting financial data and billing trends
Exceptional accuracy and ability to follow complex instructions
Professional communication skills across all organizational levels
The Phoenix Group Advisors is an equal opportunity employer. We are committed to creating a diverse and inclusive workplace and prohibit discrimination and harassment of any kind based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. We strive to attract talented individuals from all backgrounds and provide equal employment opportunities to all employees and applicants for employment.
$41k-56k yearly est. 2d ago
Insurance Analytics Specialist (Actuary)- Tec...
Lockton Companies 4.5
San Francisco, CA jobs
Insurance Analytics Specialist (Actuary)- Technology Ris...
San Francisco, California, United States of America
Insurance Analytics Specialist (Actuary)- Technology Ris...
San Francisco, California, United States of America
At Lockton, we're passionate about helping our people achieve their ultimate potential. Our people are curious, action-oriented and always striving to make ourselves and those around us better. We're active listeners working to ensure understanding and problem solvers developing innovative solutions. If you can see yourself delivering excellent service to clients, giving back to our communities and being a part of our caring culture, you belong here.
About the Position
Lockton is a global professional services firm with 6,500 Associates who advise clients on protecting their people, property and reputations. Lockton has grown to become the world's largest privately held, independent insurance broker by helping clients achieve their business objectives. To see the latest insights from Lockton's experts, check Lockton Market Update .
A few of the reasons Associates love working at Lockton include:
Opportunities for growth and advancement, including paid training and professional development
12-week paid parental leave
A huge emphasis on community involvement
Frequent athletic and wellness events
Incredibly generous rewards; US Associates receive a Rolex for their 10 year anniversary!
We seek an experienced Insurance Analytics Specialist/Actuary to join our team. In this role, you will be part of an engaging and dynamic brokering team building insurance products that uses creative analytics solutions to advocate for our clients. You will also serve as the daily liaison between our account team and our internal analytics partners, ensuring data completeness and quality, as well as managing workflow and work quality. The ideal candidate will have a strong foundation in insurance analytics, a solid understanding of fundamental insurance concepts, and the ability to transform complex data into actionable insights.
Key Responsibilities
Advanced Analytics for Bespoke Analysis
• Perform sophisticated analytical research on specialized insurance topics, including innovative initiatives in autonomy and actuarial research
• Design and implement analytical models to evaluate risk factors, pricing implications, and coverage considerations for specialized insurance scenarios
• Translate complex insurance data into meaningful insights that drive strategic decision-making
• Develop data visualization tools to communicate analytical findings to stakeholders at various levels effectively
• Research industry trends and emerging risks to provide proactive recommendations on underwriting approaches
• Support internal analytics initiatives by applying statistical techniques to uncover patterns and relationships within insurance data
Data Review and Workload Management with our internal Analytics partners
• Serve as the primary liaison between our team and internal analytics partners, anticipating their data requirements and questions
• Conduct comprehensive data validation checks to ensure completeness and accuracy
• Identify and resolve data discrepancies or missing elements independently
• Develop and implement standardized data preparation procedures to ensure efficient workload management, streamline the review process, and minimize delays
Qualifications
Required Qualifications
• Bachelor's degree in Analytics, Statistics, Actuarial Science, Finance, Economics, Insurance, or related field
• At least 4-6 years of experience in insurance analytics, data analysis, or a related role within the insurance industry
• Demonstrated understanding of fundamental insurance concepts, including supply/demand dynamics, loss components, and their interrelationships
• Proficiency in data analysis tools such as Excel, SQL, and Python
• Experience with data quality assurance processes and validation methodologies
• Strong analytical skills with the ability to interpret complex datasets and identify meaningful patterns
Preferred Qualifications
• Insurance industry certifications such as ACAS, CPCU, or ARM
• Experience working with claims data, policy information, and underwriting systems
• Background in predictive modeling or machine learning applications in insurance
• Knowledge of the forefront of technology innovations and related insurance implications
• Experience with data visualization tools like Tableau or Power BI
Skills and Competencies
• Exceptional attention to detail and commitment to data accuracy and integrity
• Strong critical thinking and problem-solving abilities to address complex analytical challenges
• Collaborate effectively across internal teams and external partners by understanding diverse stakeholder priorities and delivering solutions that align technical requirements with organizational objectives
• Excellent communication skills to adapt communication approaches and translate technical findings into business insights
• Self-motivation and the ability to work independently while managing multiple priorities
• Collaborative mindset with the ability to work effectively with cross-functional teams
• Advanced knowledge of insurance industry terminology, products, and regulatory considerations
Working Conditions
This full-time position primarily operates in an office environment. The role may require occasional travel to meet with partners or attend industry events. Some flexibility in work scheduling may be necessary to meet project deadlines.
Equal Opportunity Statement
Lockton Companies is proud to provide everyone anequal opportunity to grow and advance. We are committed to an inclusive culture and environment where our people, clients and communities are treated with respect and dignity.
At Lockton, supporting diversity, equity and inclusion is ingrained in our values, and we believe that we are at our best when we fully embrace everyone. We strive to cultivate a caring culture that learnsfrom, celebrates and thrives because of ourbreadth of differences. As such, we recognize that recruiting, developing and retaining people with diverse backgrounds and experiences is vital and enabling our people to thrive personally and professionally is critical to our long-term success.
About Lockton
Lockton is the largest privately held independent insurance brokerage in the world. Since 1966, our independence has allowed us to serve our clients, take care of our people and give back to our communities. As such, our 12,500+ Associates doing business in over 140 countries are empowered to do what's right every day.
At Lockton, we believe in the power of all people. You belong at Lockton.
How We Will Support You
At Lockton, we empower you to be true to yourself in all that you do. Your success is our success, and we provide opportunities to help you grow and create a rewarding career path, however you envision it.
We are ready to meet you where you are today, and as your needs change over time. In addition to industry-leading health insurance, we offer additional options to support your overall health and wellbeing.
Any Employment Agency, person or entity that submits an unsolicited resume to this site does so with the understanding that the applicant's resume will become the property of Lockton Companies, Inc. Lockton Companies will have the right to hire that applicant at its discretion and without any fee owed to the submitting Employment Agency, person or entity. Employment Agencies, who have fee Agreements with Lockton Companies must submit applicants to the designated Lockton Companies Employment Coordinator to be eligible for placement fees.
Manage Consent Preferences
Always Active
#J-18808-Ljbffr
$39k-47k yearly est. 3d ago
Insurance Specialist
Bankers Life 4.5
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: ********************************
$31k-41k yearly est. 5d ago
Wealth Billing Specialist
World Insurance Associates 4.0
Iselin, NJ jobs
Founded in 2011, World is one of fastest-growing insurance brokers in the U.S. with over 2,200 employees in over 210 offices across North America. We specialize in personal and commercial insurance lines, surety and bonding, employee benefits, financial and retirement services, and human capital management solutions.
Position Objective
World Investment Advisors, LLC is looking to add a vibrant wealth billing professional to our roster. The candidate should be a self-starting, tech savvy professional who is comfortable managing wealth billing in Tamarac while also possessing the ability to provide excellent customer service to our management team and advisors.
This position is expected to be a hybrid role between our operations and accounting teams, managing the Tamarac wealth billing process from start to finish, including: onboarding new custodians onto the Tamarac platform, setting up billing definitions and groups, running monthly/quarterly billings and submitting to custodians for processing, performing shadow billings for new acquisitions being onboarded, working directly with advisors on billing questions, preparing billing imports for Salesforce, performing reconciliations, and following up on aged receivables. Excellent time management, critical thinking, multi-tasking, attention to detail, and diligence to ensure timely completion of tasks are some of the skills required for success in this position. This position works directly with our Senior Accountant and Director of Platform Technology and Strategy and will report to our Senior Accountant.
Typical Duties and Responsibilities
Manage the wealth billing process in Tamarac from end to end, including new account set up in the system according to specific contract terms.
Generate, review, process and reconcile monthly and quarterly billings, submit to custodians for processing, and prepare Salesforce imports for processed billings.
Manage account receivable collections and delinquent accounts.
Assist with the timely execution and review of month-end billing activities, including, but not limited to account reconciliation, analysis, and reporting.
Assist with onboarding of new acquisitions into Tamarac and perform shadow billings to compare against legacy billing systems to ensure a smooth transition to our platform.
Provide timely and positive customer service by phone and e-mail, with advisors or clients regarding payment issues or discrepancies.
Respond promptly to advisor requests.
Additional projects and duties as assigned.
Position Requirements
A Bachelor's degree is required.
Degree(s) must be from a credible college or university.
Tamarac or Envestnet wealth billing experience is required.
Must be extraordinarily detailed oriented.
Must be highly skilled in use of Excel Spreadsheets.
Must be skilled in use of MS Office and have very good verbal and written skills.
A minimum of 3-5 years of experience in a similar role is required.
Experience within the financial services industry is strongly preferred.
Salesforce experience is strongly preferred.
Compensation
The estimated salary for this position is $80,000 but may vary based on candidate qualifications and operational needs. The firm also has a bonus program.
To Executive Search Firms and Staffing Agencies:
World does not accept unsolicited resumes from any agencies that have not signed a mutual service agreement. All unsolicited resumes will be considered World's property, and World will not be obligated to pay a referral fee. This includes resumes submitted directly to Hiring Managers without contacting World's Human Resources Talent Department.
#LI-GP1
#LI-REMOTE
$80k yearly Auto-Apply 34d ago
Central Billing Associate
Lockton 4.5
Kansas City, MO jobs
The Billing Associate will be responsible for invoicing agency bill premiums as required by the Commercial Insurance Division. * Invoice all premiums as directed by the Commercial Insurance division. * Confirm correct coding in the Nexsure system to avoid production errors.
* Discuss potential problems with the Billing Supervisor or Accounting Manager.
* Forward appropriate documents to Accounting Department.
* Forward appropriate documents to Surplus Lines Department.
* Act as the liaison between Lockton associates and contract markets to research and resolve discrepancies
* Assist with other work-related duties and special projects as assigned.
* Protect the confidentiality of all information.
$32k-38k yearly est. 7d ago
Sr. Agency Billing Rep (Bala Cynwyd, PA or Naperville, IL)
Philadelphia Insurance Companies 4.8
Naperville, IL jobs
Marketing Statement: Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries. We have been in operation since 1962 and are nationally recognized as a member of Ward's Top 50 and rated A++ by A.M.Best.
We are looking for a Sr. Agency Billing Representative to join our team in either our Bala Cynwyd, PA or Naperville, IL offices!
Summary:
Establish and maintain service relationship with assigned high-priority agents to facilitate successful and timely premium collection of receivables. Advise, verify and approve work items of team members as a Subject Matter Expert.
A typical day will include the following:
* Support team and report daily operations to Supervisor
* Relationships with High Priority Agents
* Manage Service Escalations
* Conduct Assessments
* Mentor and Train Team
* Collect receivables to Prevent Past Due Status
Qualifications:
* High School Diploma
* Minimum of 3 years of Accounts Receivable experience
* Customer Service experience
* Intermediate excel skills
* Strong written and verbal communication skills
EEO Statement:
Tokio Marine Group of Companies (including, but not limited to the Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an Equal Opportunity Employer. In order to remain competitive we must attract, develop, motivate, and retain the most qualified employees regardless of age, color, race, religion, gender, disability, national or ethnic origin, family circumstances, life experiences, marital status, military status, sexual orientation and/or any other status protected by law.
Benefits:
We offer a comprehensive benefit package, which includes tuition reimbursement and a generous 401K match. Our rich history of outstanding results and growth allow us to focus our business plan on continued growth, new products, people development and internal career opportunities. If you enjoy working in a fast paced work environment with growth potential please apply online.
Additional information on Volunteer Benefits, Paid Vacation, Medical Benefits, Educational Incentives, Family Friendly Benefits and Investment Incentives can be found at *****************************************
Share: mail
Apply Now
$38k-44k yearly est. 5d ago
Patient Accounts
Capital Area Pediatrics 4.1
Oakton, VA jobs
Capital Area Pediatrics offers accessible, comprehensive pediatric care to families at five practice locations throughout Northern Virginia. For both sickness and health, generations of families have chosen Capital Area Pediatrics to provide outstanding care and an exceptional patient experience. We are currently hiring a full-time Medical Biller to join our team. This is an on-site position located at our Central Business Office in Oakton, Virginia.
Responsibilities
Complete all charge entry duties as assigned on a daily basis according to productivity requirements.
Back-up and assist other billing department staff as required.
Examining documents for missing information and ensuring documents are accurate.
Review provider documentation for support of clinician-selected ICD-10, CPT, and HCPCS codes.
Extracting relevant information from patient records.
Liaising with physicians and other parties to clarify information.
Performing chart audits.
Advising and training physicians and staff on medical coding.
Ensuring compliance with medical coding policies and guidelines.
Support credentialing process.
Performs other duties as assigned.
Knowledge, Skills, and Abilities
Knowledge of medical terminology.
Ability to work autonomously and as part of a team.
Ability to communicate effectively in both oral and written form.
Ability to understand and follow instructions.
Ability to perform in an organized and efficient manner, demonstrating adaptability and flexibility
Ability to provide quality customer service to patients, families, vendors, and other team members
Requirements
Medical Billing/Collections experience required.
Credentialing experience preferred.
Experience working with Electronic Medical Records (EMR) - Athena is a plus!
High school diploma or equivalent required.
Capital Area Pediatrics ("the Company") is a proud Equal Opportunity Employer. We do not discriminate on the basis of race, religion, color, sex, gender identity, pregnancy, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status, or any other basis covered by appropriate law. All employment decisions are based on qualifications, merit, and business needs. The Company does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of the Company and the Company will not be obligated to pay a placement fee.
$27k-42k yearly est. Auto-Apply 60d+ ago
Patient Accounts
Capital Area Pediatrics 4.1
Oakton, VA jobs
Capital Area Pediatrics offers accessible, comprehensive pediatric care to families at five practice locations throughout Northern Virginia. For both sickness and health, generations of families have chosen Capital Area Pediatrics to provide outstanding care and an exceptional patient experience. We are currently hiring a full-time Medical Biller to join our team. This is an on-site position located at our Central Business Office in Oakton, Virginia.
Responsibilities
Complete all charge entry duties as assigned on a daily basis according to productivity requirements.
Back-up and assist other billing department staff as required.
Examining documents for missing information and ensuring documents are accurate.
Review provider documentation for support of clinician-selected ICD-10, CPT, and HCPCS codes.
Extracting relevant information from patient records.
Liaising with physicians and other parties to clarify information.
Performing chart audits.
Advising and training physicians and staff on medical coding.
Ensuring compliance with medical coding policies and guidelines.
Support credentialing process.
Performs other duties as assigned.
Knowledge, Skills, and Abilities
Knowledge of medical terminology.
Ability to work autonomously and as part of a team.
Ability to communicate effectively in both oral and written form.
Ability to understand and follow instructions.
Ability to perform in an organized and efficient manner, demonstrating adaptability and flexibility
Ability to provide quality customer service to patients, families, vendors, and other team members
Requirements
Medical Billing/Collections experience required.
Credentialing experience preferred.
Experience working with Electronic Medical Records (EMR) - Athena is a plus!
High school diploma or equivalent required.
Capital Area Pediatrics ("the Company") is a proud Equal Opportunity Employer. We do not discriminate on the basis of race, religion, color, sex, gender identity, pregnancy, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status, or any other basis covered by appropriate law. All employment decisions are based on qualifications, merit, and business needs. The Company does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of the Company and the Company will not be obligated to pay a placement fee.
$27k-42k yearly est. Auto-Apply 60d+ ago
Patient Accounts
Capital Area Pediatrics 4.1
Oakton, VA jobs
Job DescriptionCapital Area Pediatrics offers accessible, comprehensive pediatric care to families at five practice locations throughout Northern Virginia. For both sickness and health, generations of families have chosen Capital Area Pediatrics to provide outstanding care and an exceptional patient experience. We are currently hiring a full-time Medical Biller to join our team. This is an on-site position located at our Central Business Office in Oakton, Virginia.
Responsibilities
Complete all charge entry duties as assigned on a daily basis according to productivity requirements.
Back-up and assist other billing department staff as required.
Examining documents for missing information and ensuring documents are accurate.
Review provider documentation for support of clinician-selected ICD-10, CPT, and HCPCS codes.
Extracting relevant information from patient records.
Liaising with physicians and other parties to clarify information.
Performing chart audits.
Advising and training physicians and staff on medical coding.
Ensuring compliance with medical coding policies and guidelines.
Support credentialing process.
Performs other duties as assigned.
Knowledge, Skills, and Abilities
Knowledge of medical terminology.
Ability to work autonomously and as part of a team.
Ability to communicate effectively in both oral and written form.
Ability to understand and follow instructions.
Ability to perform in an organized and efficient manner, demonstrating adaptability and flexibility
Ability to provide quality customer service to patients, families, vendors, and other team members
Requirements
Medical Billing/Collections experience required.
Credentialing experience preferred.
Experience working with Electronic Medical Records (EMR) - Athena is a plus!
High school diploma or equivalent required.
Capital Area Pediatrics ("the Company") is a proud Equal Opportunity Employer. We do not discriminate on the basis of race, religion, color, sex, gender identity, pregnancy, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status, or any other basis covered by appropriate law. All employment decisions are based on qualifications, merit, and business needs. The Company does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of the Company and the Company will not be obligated to pay a placement fee.
$27k-42k yearly est. 12d ago
Billing Specialist
Memorial Health System 4.3
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 BillingSpecialist (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.
$32k-43k yearly est. Auto-Apply 35d ago
Medical Billing Specialist
The Panther Group 3.9
Norwood, MA jobs
The Panther Group is hiring for a Medical BillingSpecialist, 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
$22-24 hourly 51d ago
Car Biller/Billing Clerk
Jim Reed Automotive 4.0
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
$20 hourly 60d+ ago
Car Biller/Billing Clerk
Jim Hudson Automotive Group 4.0
Columbia, SC jobs
Job DescriptionDescription:
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.
$20 hourly 12d ago
Sr. Agency Billing Rep (Bala Cynwyd, PA or Naperville, IL)
Philadelphia Insurance Companies 4.8
Pennsylvania jobs
Marketing Statement:
Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries. We have been in operation since 1962 and are nationally recognized as a member of Ward's Top 50 and rated A++ by A.M.Best.
We are looking for a Sr. Agency Billing Representative to join our team in either our Bala Cynwyd, PA or Naperville, IL offices!
Summary:
Establish and maintain service relationship with assigned high-priority agents to facilitate successful and timely premium collection of receivables. Advise, verify and approve work items of team members as a Subject Matter Expert.
A typical day will include the following:
Support team and report daily operations to Supervisor
Relationships with High Priority Agents
Manage Service Escalations
Conduct Assessments
Mentor and Train Team
Collect receivables to Prevent Past Due Status
Qualifications:
High School Diploma
Minimum of 3 years of Accounts Receivable experience
Customer Service experience
Intermediate excel skills
Strong written and verbal communication skills
EEO Statement:
Tokio Marine Group of Companies (including, but not limited to the Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an Equal Opportunity Employer. In order to remain competitive we must attract, develop, motivate, and retain the most qualified employees regardless of age, color, race, religion, gender, disability, national or ethnic origin, family circumstances, life experiences, marital status, military status, sexual orientation and/or any other status protected by law.
Benefits:
We offer a comprehensive benefit package, which includes tuition reimbursement and a generous 401K match. Our rich history of outstanding results and growth allow us to focus our business plan on continued growth, new products, people development and internal career opportunities. If you enjoy working in a fast paced work environment with growth potential please apply online.
Additional information on Volunteer Benefits, Paid Vacation, Medical Benefits, Educational Incentives, Family Friendly Benefits and Investment Incentives can be found at *****************************************
$34k-40k yearly est. Auto-Apply 7d ago
Sr. Agency Billing Rep (Bala Cynwyd, PA or Naperville, IL)
Philadelphia Insurance Companies 4.8
Pennsylvania jobs
Marketing Statement: Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries. We have been in operation since 1962 and are nationally recognized as a member of Ward's Top 50 and rated A++ by A.M.Best.
We are looking for a Sr. Agency Billing Representative to join our team in either our Bala Cynwyd, PA or Naperville, IL offices!
Summary:
Establish and maintain service relationship with assigned high-priority agents to facilitate successful and timely premium collection of receivables. Advise, verify and approve work items of team members as a Subject Matter Expert.
A typical day will include the following:
* Support team and report daily operations to Supervisor
* Relationships with High Priority Agents
* Manage Service Escalations
* Conduct Assessments
* Mentor and Train Team
* Collect receivables to Prevent Past Due Status
Qualifications:
* High School Diploma
* Minimum of 3 years of Accounts Receivable experience
* Customer Service experience
* Intermediate excel skills
* Strong written and verbal communication skills
EEO Statement:
Tokio Marine Group of Companies (including, but not limited to the Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an Equal Opportunity Employer. In order to remain competitive we must attract, develop, motivate, and retain the most qualified employees regardless of age, color, race, religion, gender, disability, national or ethnic origin, family circumstances, life experiences, marital status, military status, sexual orientation and/or any other status protected by law.
Benefits:
We offer a comprehensive benefit package, which includes tuition reimbursement and a generous 401K match. Our rich history of outstanding results and growth allow us to focus our business plan on continued growth, new products, people development and internal career opportunities. If you enjoy working in a fast paced work environment with growth potential please apply online.
Additional information on Volunteer Benefits, Paid Vacation, Medical Benefits, Educational Incentives, Family Friendly Benefits and Investment Incentives can be found at *****************************************
Share: mail
Apply Now
$34k-40k yearly est. 5d ago
Enrollment and Billing Dental Insurance Coordinator
Northeast Delta Dental 3.9
Concord, NH jobs
Northeast Delta Dental in Concord, NH is looking to hire a full-time, onsite, Enrollment and Billing Coordinator to update records, add new subscriber information in the customer enterprise system, provide guidance to group customers related to subscriber enrollment and benefits administration. The Enrollment and Billing Coordinator will also be a resource on enrollment processing guidelines, billing, policies and procedures, and legal and regulatory guidelines for stakeholders.
This Enrollment and Billing Coordinator position earns a competitive salary (between $21.00 - $22.00/hour), depending on experience. We provide fantastic benefits, including health, life, dental, vision, short-term disability (STD), long-term disability (LTD), paid time off (PTO), paid holidays, a 401(k) plan, an independent retirement advisor, an employee assistance program, a tuition reimbursement program, and more! If this sounds like the right opportunity for you, apply today!
ABOUT NORTHEAST DELTA DENTAL
Northeast Delta Dental - a nonprofit member of Delta Dental Plans Association (DDPA) - is the region's most trusted name in dental insurance for companies, individuals, and families throughout Maine, New Hampshire, and Vermont. We are a values-driven company that successfully balances profitability and community involvement with colleagues working together to create a corporate environment built upon high trust and mutual respect. We are recognized for our expertise in the dental insurance industry, the vibrancy of our participating dentist network, and our strong brand. All of us at Northeast Delta Dental understand the power of core values to guide our decisions and to provide a strong base for our relationships.
A DAY IN THE LIFE OF AN ENROLLMENT AND BILLING COORDINATOR:
* Assures data integrity by accurately entering enrollment data into the custom enterprise system based on underwriting, eligibility, and group contract criteria.
* Responds to customer inquiries received via phone, email, fax, or letter.
* Provides information to internal and external customers on underwriting funding, eligibility group guidelines and the Group Admin Portal.
* Facilitates eBilling for the risk business usage by encouraging, educating, and enrolling groups. Researches, identifies and resolves errors in eBilling for Risk business, and responds to customer inquiries.
* Manages the billing process by preparing and mailing risk bills, performing collection of current and delinquent accounts, and adjusting the hold status of claims according to company collection guidelines.
* Calculates and prepares billing adjustment forms and conducts billing audits for risk accounts. Communicates and coordinates monthly billing with internal stakeholders, risk groups and outside vendors.
* Performs group enrollment audits and makes eligibility adjustments. Reviews enrollment data for accuracy by comparing and analyzing group reports and performing audits.
* Collaborates with Third Party Administrators (TPAs) and employer groups to reconcile discrepancies and update records.
THE EXPERTISE AND SKILLS YOU WILL BRING:
* Associate's Degree in Business, General Studies, Communications, or related field, plus at least one year of related experience or an equivalent combination of training, experience, and/or education.
* Computer proficiency required, especially with the Microsoft Office Suite.
* Must have a working knowledge of eligibility regulations and guidelines.
* Experience with online enrollment tools and electronic enrollment file formats preferred.
WORK SCHEDULE:
The work schedule for this position is Monday - Friday, 8:45 a.m. - 4:45 p.m. This position will work on-premises at our Concord, NH headquarters.
All candidates must be authorized to work for any employer in the United States without sponsorship now and in the future.
Northeast Delta Dental is proud to be an equal opportunity employer.
IF YOU ARE READY TO JOIN OUR TEAM ~ APPLY TODAY!
Location: 03301
$21-22 hourly 15d ago
Collections Specialist (Revenue Cycle)
Philips 4.7
Malvern, PA jobs
Your role: * Working with various commercial insurnace payers to resolve claims and denials. * Escalating payor issue trends for leaderships consideration along with possible solutions. Providing daily follow-up on insurance correspondence to ensure claim payments are made in a timely manner.
* Developing and maintaining updates for any problematic payers and assisting in identifying, evaluating and developing systems /procedures to address issues.
* Determining patient eligibility along with basic benefit verification (qualifying diagnoses, prior testing and authorization requirements) and reading eligibility of benefits, to determine claim processing by insurance carriers.
You're the right fit if:
* You've acquired 2+ years of experience in Revenue Cycle Management, specifically within Collections or Reimbursement Services.
* Your skills include:
* Experience with denial management, claim follow up, overturning denials and identifying payer issue trends.
* Knowledge of insurnace payers, including Medicare, Medicaid, Blue Cross Blue Shield and commercial plans. You have the ability to navigate through various systems to pull information.
* Experience with Soarian is a plus.
* You have a high school diploma or GED (required).
* You must be able to successfully perform the following minimum Physical, Cognitive and Environmental job requirements with or without accommodation for this position.
* You're a strong verbal communicator with both internal/external partners
How we work together
We believe that we are better together than apart. For our office-based teams, this means working in-person at least 3 days per week. Onsite roles require full-time presence in the company's facilities. Field roles are most effectively done outside of the company's main facilities, generally at the customers' or suppliers' locations.
This is an office role.
About Philips
We are a health technology company. We built our entire company around the belief that every human matters, and we won't stop until everybody everywhere has access to the quality healthcare that we all deserve. Do the work of your life to help improve the lives of others.
* Learn more about our business.
* Discover our rich and exciting history.
* Learn more about our purpose.
* Learn more about our culture.
Philips Transparency Details
The pay range for this position in Malvern, PA and Chicago, IL is $23.00 to $37.00 hourly.
The actual base pay offered may vary within the posted ranges depending on multiple factors including job-related knowledge/skills, experience, business needs, geographical location, and internal equity.
In addition, other compensation, such as an annual incentive bonus, sales commission or long-term incentives may be offered. Employees are eligible to participate in our comprehensive Philips Total Rewards benefits program, which includes a generous PTO, 401k (up to 7% match), HSA (with company contribution), stock purchase plan, education reimbursement and much more. Details about our benefits can be found here.
At Philips, it is not typical for an individual to be hired at or near the top end of the range for their role and compensation decisions are dependent upon the facts and circumstances of each case.
Additional Information
US work authorization is a precondition of employment. The company will not consider candidates who require sponsorship for a work-authorized visa, now or in the future.
Company relocation benefits will not be provided for this position. For this position, you must reside in or within commuting distance to Malvern, PA or Chicago, IL.
#ConnectedCare
This requisition is expected to stay active for 45 days but may close earlier if a successful candidate is selected or business necessity dictates. Interested candidates are encouraged to apply as soon as possible to ensure consideration.
Philips is an Equal Employment and Opportunity Employer including Disability/Vets and maintains a drug-free workplace.
$23-37 hourly Auto-Apply 7d ago
Collections Specialist
Qsm Health Systems 3.7
Hollywood, FL jobs
Responsibilities
Post all payments Medicare FL/NC and Commercial EOB's, drop statements when needed while posting, ensure claims have been tagged/BB'd & printed, fix “claim processing errors detail report.”
Present Projects:
Review & note all M/care's denials before giving to appropriate dept
ALL denials from Humana
ALL Humana “Custodial” denials
ALL HMO denials
ALL Medicare's PR-9; 18, CO140
Audit accounts that have open claims - investigate, fix and tag.
Do all w/offs on accounts authorized by the Office Manager.
Verify that insurance contracts are up to date & paying at correct fee schedule.
Monthly statements, including sending all letters and accounts to IC System (Collection Agency).
Verify Insurance coverage for providers when out in the field (before office opens).
Review HCFA's prior to mailing, ensure that charges are entered correctly, attach correct referrals CC pts & Home pts.
Billing:
If original claim comes back denied create claim to correct insurance (e.g., pt becomes hospice or is enrolled with a different insurance company, etc.).
Review all Medicare EOBs for secondary payments.
Enter Secondary Insurance information from Medicare EOB & secondary payment
Do all mail pertaining to patients, review all denials fix and resubmit corrected claims commercial & Medicare PR B9's, help in the expedition of certain issues, update address and/or make adjustments to return statements.
Past Projects:
Vista & Humana - Resubmit all claims that were unpaid but collected 99%.
Claims - Over 300 claims never printed sent & 98% got paid.
Resubmit any/all Medicare denials listed on the EOB.
Document all reconsiderations, ADRs in pt's accounts.
Review all denials.
Assist Front Office, ensure patients have the correct balance on account.
Translate Practice forms from English to Spanish.
Become familiar with and abide by all company policies and procedures as set forth by management.
Qualifications
Minimum of Two (2) Years Experience working in a Healthcare Environment.
Minimum education requirement: High School Diploma, or the equivalent.*MUST LIVE IN FLORIDA & WILLING TO COMMUTE TO HEADQUARTERS FOR TRAINING *
Note: This is a Remote Position
About Us
Quality Surgical Management (QSM) is the premier wound care provider since 1991. We are currently seeking to fill a full-time position. This position is for an Insurance Verification/Referral Coordinator. We are looking for someone who is ready to join our team of skilled and dedicated staff. This opportunity is for our Hollywood Beach location at 3800 S Ocean Drive Suite 209 Hollywood FL, 33019 in the Hallmark building. Qualified candidates must be detailed oriented and organized, with a strong sense of communication and work ethics.
QSM Health Systems, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
We offer a competitive salary and benefits package which includes health insurance and 401(K) upon completion of the 90-day probationary period. Qualified candidates will be contacted to schedule interviews with our management staff.