What are the responsibilities and job description for the Insurance and Billing Specialist position at Brenart Eye Clinic?
JOB DESCRIPTION: INSURANCE AND BILLING SPECIALIST
REPORT TO: Insurance Department Manager
ESSENTIAL JOB FUNCTION:
· Verify eligibility and benefits for all patients.
· Process claims for reimbursement and submit to the proper insurer, including Worker’s Comp., Medicare, BCBS, Aetna, United Healthcare and others.
· Bill Medicare secondary insurance.
· Resolves questions and problems related to billing, i.e. balances, codes, etc.
· May post charges and payments on computer.
· Re-bill rejected insurance claims and troubleshoot why they were rejected.
· Maintain data entry collection.
· Maintain filing for department.
· Communicate any office procedural needs to Department and/or Office Manager.
REQUIRED DEMONSTRATED SKILLS/ABILITIES:
· Effective and consistent communication.
· Excellent organizational skills.
· Ability to interact with doctors, staff, patients, and the public in a positive, productive, and professional manner.
· Ability to act independently and use good judgement.
· Ability to operate and navigate healthcare computer software and applications quickly and efficiently.
QUALIFICATIONS/EXPERIENCE:
· High School graduate with at least 1 year of professional experience in the health care setting (billing and insurance experience preferred).
· Knowledge of Medicare and other third-party reimbursement procedures, ICD-10 and CPT coding highly preferred.
· Knowledge of EHR software preferred.
PHYSICAL DEMANDS
· Must be able to sit for extended periods of time.
· Must be able to communicate via the telephone for extended periods of time.
· Must be able to view and type computer data for extended periods of time.
· Must be able to adhere to work schedule.
· Occasional use of a staircase may be necessary.
Please note: This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.
Job Types: Full-time, Part-time
Pay: From $18.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee discount
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Work Location: In person
Salary : $18