Job Purpose: Responsible for all insurance (claims) follow-up on assigned accounts from the management team.

Essential Duties & Responsibilities

• Perform various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers, verifying insurance, charge payments and refund posting as well as coding reviews and audits.
• Research, insurance billing and adjustment identification to ensure proper account resolution.
• Prepare and submit clean claims to various insurance companies either electronically or by paper.
• Follow up and report status of delinquent accounts.
• Answers questions from patients, clerical staff and insurance companies.
• Maintain strict confidentiality; adhere to all HIPAA guidelines/regulations.
• Conducts self in accordance with GU's employee manual.
• Other duties as assigned.

Requirements:

QUALIFICATIONS:

Knowledge

Education

• High School Diploma or GED.

Skills & Abilities:

• Knowledge of medical billing/collection practices.
• Knowledge of insurance companies policies & procedures, including Government plans
• Knowledge of business office procedures.
• Knowledge of basic medical coding and third-party operating procedures and practices.
• Ability to operate a multi-line telephone system.
• Skill in answering a telephone in a pleasant and helpful manner.
• Ability to read, understand and follow oral and written instructions.
• Knowledge of billing practices, ie. FIN Class, commercial payers, NaviCare, etc.
• Must be well organized and detail-oriented.

Computer literacy:

• Ability to operate a computer and basic office equipment.
• Knowledge of computer programs.

SPECIAL REQUIREMENTS:

Physical Demands: Requires sitting and standing associated with a normal office environment. Manual dexterity needed for using a calculator and computer keyboard. This description is intended to provide only basic guidelines for meeting job requirements.

Responsibilities, skills and working conditions may change as needs evolve and are assigned by the supervisor.

Job Types: Full-time, Part-time

Pay: $18.00 - $22.00 per hour

Expected hours: 20 – 30 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 4 hour shift
• 8 hour shift
• Monday to Friday
• Weekends as needed

Work setting:

• In-person
• Office

Work Location: In person