Medical Insurance Follow-Up Specialist

At Olympic Sports & Spine (OSS), we promote a quality work setting. We are known for our fun and energetic work environment and for valuing our employees.

Our clinics and offices are full of supportive colleagues who all share an interest in creating the best possible place to work. Learn more at

POSITION SUMMARY :

The Insurance A / R collections specialist is responsible for processing all activity related to OSS's patient accounts receivable.

Patient accounting functions supported include billing, follow-up, collections, patient concerns, cash application, and credit balance resolution.

Performs other work associated with the billing process.

SUMMARY OF DUTIES :

• Review patient financial information to verify third-party payer requirements have been met and financial coding is correct;
• Audit information on third-party claim forms for accuracy and completeness; transmit claims to third-party payers, including using a direct entry claims interface system;
• Prepare and input allowances and adjustments to patient accounts according to third-party payer requirements and department procedures;
• Access major payers' computer files online to obtain eligibility and claims processing information;
• Respond to inquiries from patients, third-party payers and agencies, and other departments;
• Analyze unpaid third-party claims to determine appropriate follow-up action to assure payment;
• Analyze third-party contract reimbursement for accuracy;
• Contact patients and payers by telephone to resolve account balances;
• Process appropriate transactions to correct inaccurate account balances;
• Prepare correspondence to address account concerns;
• Analyze delinquent accounts with regard to billing and payment history and determine appropriate follow-up procedures based on departmental guidelines;
• Post and balance daily remittances to patient accounts; post allowances and adjustments accompanying cash remittances;
• Resolve credit balances through allowances, adjustments, or refunds to patients of third-party payers;

KNOWLEDGE, SKILLS, AND ABILITIES :

Extensive insurance billing, follow-up experience,

Previous experience working in health care insurance follow-up (is preferred, but not necessary),

Experience in patient accounts receivable / collections (is preferred but not necessary),

Strong interpersonal skills, sound judgment & decision-making,

Strong analytical skills.

Effective written and oral communication skills,

Capable of working independently,

Ability to prioritize and organize daily tasks,

Ability to always represent OSS professionally,

Ability to communicate information effectively to payers, clients, and staff,

Secure patients' demographics and medical information with great discretion and ensure all procedures align with HIPAA compliance and regulation.

BENEFITS :

Check out our benefits page for more information about our Benefits and Rewards.

Matching 401(k)

Health Insurance

Dental and Vision Insurance

Advancement opportunities

Company-wide celebrations and events!

SCHEDULE :

Monday - Friday (no weekends) from 8 am to 5 pm.

OSS001 p3611% %%insurance%%

Last updated : 2024-05-10