What are the responsibilities and job description for the Insurance Collections / Revenue Cycle Specialist position at MidAmerica Orthopaedics S.C.?
PRIMARY DUTIES AND RESPONSIBILITIES:
- PATIENT BILLING
- Resubmit claims for physician and facility charges, either on paper or by electronic means. Reviews electronic billing reports for rejections and denials; resubmit denials in a timely manner.
- Assists patients with billing questions by phone or in person; refers unresolved problems to Revenue Manager.
- Prepares secondary insurance billing after receiving payment from primary carrier.
- CASH APPLICATION
- Applies insurance and patient payments to the appropriate accounts.
- Makes adjustments as appropriate on each account for contractual writeoffs, finance charge writeoffs, etc.
- Processes refunds as appropriate for overpayments on accounts.
- Notify patients of NSF checks and arrange a method of repayment.
- Reviews all payments for accuracy and follows up on incorrect payments with insurance companies, and makes notations in patient's account. Resolves denials received by mail from insurance payers.
- PERFORM COLLECTION PROCEDURES
- Produces statements of balance due for patients. Calls patients for nonpayment after 3 statements have been sent. Determines accounts to be sent to outside collection agency.
- Maintains a working relationship with outside collection agencies, selects accounts to refer to agency, reviews monthly reports from agency to monitor progress of collection efforts.
- Checks status of unpaid insurance claims in a timely manner.
- Reviews all notifications of insurance coverage denials and incorrect payments and follows up with patient or insurance company with request for payment.
- MISCELLANEOUS
- Provide backup for other areas of the business office as needed.
- Acts as backup for answering phones and registering patients.
- Perform special projects as requested.
Job Type: Full-time
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Ability to Relocate:
- Mokena, IL: Relocate before starting work (Required)
Work Location: In person