POSITION SUMMARY: The Insurance Verification and Payment Posting Specialists performs clerical functions for patient billing, including verification of insurance information, resolution of problems to ensure a clean billing process and payment posting. Follows up on accounts that require further evaluation. Works with others in a team environment.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

• Maintains patient demographic information and data collection systems
• Verify insurance eligibility for upcoming appointments by utilizing online websites or by contacting the carriers directly
• Assist front end staff and call center staff in understanding carrier websites and verification of eligibility
• Enter insurance referrals as needed
• Participates in development of organization procedures and update of forms and manuals
• Answers questions from patients and insurance companies
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations
• Assists in development and communication of SOP for key areas to improve accuracy and understanding of processes
• Apply EOB, EFT and mailed payments
• Adjust and reconcile payments, overpayments, and recoupments as received by the insurance companies
• Review patients' statements prior to sending out invoices
• Other duties as needed

QUALIFICATIONS & SKILLS:

• Minimum of 1 year of relevant experience and/or training, or equivalent combination of education and experience
• Strong knowledge of administrative and clerical procedures
• Proficient in computers and relevant software applications and practice management technology
• Possession of strong problem solving skills and sound judgment
• Ability to collaborate across departments and build effective relationships with internal and external customers to achieve goals
• Ability to achieve team goals while demonstrating organizational values and utilizing resources responsibly
• Ability to be proactive and take initiative
• Exhibit high level of quality through attention to detail and monitoring of work
• Possession of strong organizational skills
• Excellent verbal and written communication, as well as exceptional interpersonal communication skills
• Ability to work independently on assigned tasks, as well as to accept direction on given assignments
• Deals with confidential information and/or issues using discretion and judgment
• Knowledge of out of network vs in network payments, PPO, HMO
• Basic understanding of medical insurance benefits
• Microsoft Office experience

WORK ENVIROMENT & PHYSICAL DEMANDS:

• Work is performed in an office setting
• Physical demands of position: sitting, standing, walking, typing, phone communication, face to face conversation

Job Type: Full-time

Pay: $19.00 - $21.00 per hour

Benefits:

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

Schedule:

• Day shift
• Monday to Friday

Education:

• Bachelor's (Preferred)

Experience:

• Medical Billing: 1 year (Required)

Work Location: In person