What are the responsibilities and job description for the Business Office Insurance Specialist position at Orange City Area Health System?
Description: The Business Office Insurance Specialist is responsible for managing insurance claims and ensuring timely reimbursement for services provided in inpatient, outpatient, and clinical contexts. This role involves monitoring patient charge work queues, resolving discrepancies, processing claims, posting charges, and resolving any other issues related to insurance payments. The specialist will work closely with their colleagues in the Business Office, patients, insurance companies, and other hospital departments to facilitate smooth billing operations.
Duties Include:
Coding Review - collaborate with the Revenue Cycle Manager and the Health Information Manager to review complex patient accounts to confirm accounts are appropriately coded and documented.
Emergency Room Coding - review documentation from Emergency Room encounters to appropriately drop charges for both the professional and technical components. Identify documentation improvement opportunities and collaborate with the Revenue Cycle Manager to implement improvements.
Number of Hours: Full-time: 40 hours/week
Schedule: Monday – Friday
Education Requirements:
Associate's or Bachelor's degree in healthcare, business, or related field preferred. Certified Professional Biller (CPB), Certified Professional Coder (CPC) or similar certification preferred.
Experience Requirements:
Minimum of two years of experience in medical billing, insurance claims processing, and claim reimbursement or a related field preferred. Will train the correct candidate. Strong understanding of insurance policies and procedures, excellent communication and interpersonal skills, attention to detail, and proficiency in medical billing software. Experience with EPIC is preferred.
Job Type: Permanent
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Disability insurance
- Health insurance
- Paid time off
- Vision insurance
Work Location: In person