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Lutheran Social Services
Fort Wayne, IN | Full Time
$40k-52k (estimate)
1 Month Ago
Insurance Billing Operations Specialist
$40k-52k (estimate)
Full Time | Social & Legal Services 1 Month Ago
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Lutheran Social Services is Hiring an Insurance Billing Operations Specialist Near Fort Wayne, IN

WHY WORK FOR LSSI?
Lutheran Social Services of Indiana expresses the love of Jesus Christ for all people through services that empower individuals and families to move toward social, emotional, and spiritual wholeness. We seek to promote the overall health of our community by focusing on impacting families facing the most challenging obstacles with the skills necessary to make positive life choices as evidenced by advancement toward economic and family stability.


SUMMARY OF WORK:
We are seeking a dedicated and proficient Insurance Billing and Collections Specialist to join our team. This position will be responsible for maintaining all billing records to assist our third-party billing company in filing of all insurance claims on a timely basis and will be responsible for the follow up with insurance companies on unpaid outstanding claims. This person will also review various reports to identify denials and edits, corrects claims, suggest action plans to eliminate these denials/edits in the future and determines appropriateness for billing or appeal as well as evaluating accounts to determine any write-offs or corrections required. Will be responsible for collecting outstanding balances owed by the client. This position has a flexible schedule of 15-20 hours per week, Monday through Friday, with hours between 8 a.m. and 5 p.m.

Essential Duties and Responsibilities
:
Overall Responsibilities:
  • Ensure receipt and validity of all documents needed for insurance billing in order to prepare and submit billing and claim adjustments.
  • Help eliminate all barriers to timely submissions of claims
  • Identify and document payment discrepancies and take appropriate action to resolve balance, including preparation of A/R adjustments, write-offs, collection of client outstanding balances.
  • Collect and analyze information and resources related to local, regional or national payer coverage or claim submission processes.
  • Perform continual follow-up to facilitate collection of client accounts, including A/R Aging Report and document billing status to give a clear financial perspective on accounts.
  • Submit data for Medicare, Medicaid, and third-party insurance reimbursement claims. Help with self-pay statements and invoicing as needed.
  • Obtains needed documentation in order to expedite payments.
  • Observes and analyzes data to create new methods, techniques, or processes.
  • Recognizes opportunities for positive outcomes in conflict situations.
  • Settles differences without damaging relationships.
  • Listens to gain understanding of an issue from different perspectives.
  • Takes initiative in acquiring and mastering the skills and knowledge requirements of the position.
  • Responds to customers with a sense of urgency.
  • Effectively utilizes tact and diplomacy in working with people across hierarchical, functional and/or cultural borders.
  • Shares specialized knowledge with coworkers so that they can also be more effective in their positions.
  • Utilizes logical, practical, and efficient approaches.

Education and Experience:
  • High school graduate or equivalent.
  • At least 3 years of insurance billing, coding, and collections experience. Mental health coding experience preferred. Medicaid and Medicare experience preferred.
  • Ability to understand complex coverage policy changes and the impact on our clients and organization
  • Detail oriented.
  • Excellent verbal and writing communication skills.
  • Seasoned at explaining complex insurance details to clients in an effective and professional manner.
  • Proficiency in Microsoft Word, Excel, & Outlook required.

LSSI Core Values:
  • Commitment to excellence: Makes sure program standards meet all applicable laws, federal guidelines, and accrediting bodies while balancing client services.
  • Hope now and for eternity: Ensures hope to clients and to staff who are providing direct care to those in need.
  • Respect for all people: Upholds respect for all clients and staff and ensures program services are meeting the needs of the community.
  • Integrity in relationships and resources: Gains the trust of other organizations, staff, and the leadership team through sound work standards and performance.
  • Service as a reflection of our Faith: Treats others as the mission of the organization reflects.
  • Trust in Christ and His Word: Establish trust with clients, staff, and partners by serving those in need with compassion.
This job description in no way states or implies that these are the only duties to be performed by the employee(s) incumbent in this position. Employee(s) will be required to follow any other job-related instructions and to perform any other job-related duties requested by any person authorized to give instructions or assignments.

Job Summary

JOB TYPE

Full Time

INDUSTRY

Social & Legal Services

SALARY

$40k-52k (estimate)

POST DATE

03/17/2024

EXPIRATION DATE

04/15/2024

HEADQUARTERS

SAN FRANCISCO, CA

SIZE

25 - 50

FOUNDED

2012

CEO

DAN SOTO

REVENUE

<$5M

INDUSTRY

Social & Legal Services

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