Why Limitless Male Medical Clinic?

Limitless Male is a fast-growing, unique, and team-oriented company that loves to take care of our employees AND our patients. If you are looking to be surrounded by excellence, to be inspired by your peers, to help make a difference, and laughing the whole time… then we need to talk! We also pride ourselves in offering many benefits including health insurance, Limitless Male branded clothing, discounts, a great culture, and more! This is a place you can come in and help men of all walks of life achieve their goals and simply be a better them.

About the Organization

What is Limitless Male? We are a men’s health clinic where every day, we open the doors to invite men of all ages to change their lives and get back in the game by becoming better husbands, fathers, and co-workers. We do it through various avenues of testosterone replacement, peptides, wave therapies, and many other ancillary products to help men feel their best!JOB TITLE: Claims Specialist - Accounts Receivable

EMPLOYER: Limitless Male Medical Clinic

DEPARTMENT: Billing

REPORTS TO: Billing Manager

SUMMARY: The Claims Specialist should have thorough claim processing knowledge at a complex level. Thorough understanding of authorizations, benefits, enrollment, and fee schedules. Ensures member and provider satisfaction by providing appropriate and timely processing of involved cases and claims (multi-step resolution). Monitors and resolves high volume of claims for all lines of business to minimize late payments, interest penalties and ensure compliance with established guidelines. Must be able to work on tasks both independently and as part of a team.

Duties and Responsibilities

• Correcting and appealing denied claims when necessary
• Calling on insurance claims for payment or denials.
• Auditing accounts for necessary corrections
• Updating coverage information on patient accounts as needed
• Meets or exceeds all department standards: productivity; quality; and attendance
• Resolution of complex and high dollar claims
• Demonstrate solid judgment and discretion working with confidential information
• Comply with all department and company guidelines including all applicable laws and regulations.
• Work with teams inside and outside the department, and external customers as needed.

Qualifications

• 2-3 years' experience in current medical billing and coding
• CPC or AHIMA coding certification is a plus.
• Maintaining a strong knowledge of Insurance payor policies
• Solid working knowledge of claim processing from all perspectives (submissions, processing, dependencies)
• Proficient in medical software and technology
• Proficient with Microsoft Office applications
• Ability to multitask, prioritize workload and meet deadlines
• Excellent verbal and written communication skills
• Detail oriented
• Ability to work in a fast-paced environment
• Strong customer service skills
• Ability to answer patient and insurance company questions
• Ability to work independently and in a team environment
• Strong problem-solving skills
• Results oriented

COMPETENCIES:

• Adaptability - Adapts to changes in the work environment; Manages competing demands; Changes approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events.
• Analytical - Synthesizes complex or diverse information; Collects and researches data; Uses intuition and experience to complement data; Designs workflows and procedures.
• Dependability - Follows instructions, responds to management direction; Takes responsibility for own actions; Keeps commitments; Commits to long hours of work when necessary to reach goals; Completes tasks on time or notifies appropriate person with an alternate plan.
• Interpersonal Skills - Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others' ideas and tries new things.
• Judgement - Displays willingness to make decisions; Exhibits sound and accurate judgment; Supports and explains reasoning for decisions; Includes appropriate people in decision-making process; Makes timely decisions.
• Oral Communication - Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings.
• Organizational Support - Follows policies and procedures; Completes administrative tasks correctly and on time; Supports organization's goals and values; Benefits organization through outside activities; Supports affirmative action and respects diversity.
• Problem Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem solving situations; Uses reason even when dealing with emotional topics.
• Professionalism - Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments.
• Quantity - Meets productivity standards; Completes work in timely manner; Strives to increase productivity; Works quickly.
• Teamwork - Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Able to build morale and group commitments to goals and objectives; Supports everyone's efforts to succeed.

Benefits

At Limitless Male Medical, we believe a satisfying work environment makes our teams more successful at delivering the care and compassion needed. We offer:

• Competitive salaries and benefits
• Opportunities for growth and development
• PTO accrual
• Health, Vision, and Dental Available
• Appreciation and recognition
• 401K Option
• Limitless Male Clothing Discounts
• Employee Discounts