Insurance Specialist
Company: Arkansas Urology
Location: Little Rock
Posted on: January 27, 2023
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Job Description:
Description:
GENERAL DESCRIPTION OF POSITIONResponsible for processing and
filing of insurance claims, assisting patients with billing
questions, answering business office telephones, correcting and
following up with denied claims for all insurances. This position
requires someone to review all denials that come through and
research to find out the reason of denial. This position requires
someone to send in appeals and correct claims.ESSENTIAL DUTIES AND
RESPONSIBILITIESAssists in processing all insurance claims. Pull
EOB's (explanation of benefits). Evaluate Patient Financial Status.
Review and verify insurance claims. File paper and electronic
appeals on denied claims. Follow up with insurance companies and
insure claims are paid. Work outstanding insurance claims and
follow up with insurance companies for payment. Work from EOB's
(Including Medicare) and correct any denied claims in a timely
manner. Work miscellaneous claim error reports given by supervisor.
Assist patients via phone or in person, in regards to insurance
questions. Answers inquiries and correspondence from patients and
insurance companies and identify and resolve patient bill
complaints.Review medical records to clarify information and answer
questions. Resubmit insurance claims that have not yet received a
response. Participate in educational activities. Maintain strictest
confidentiality. Work zero pay report to identify posting errors by
software company. Manually key claims into the Medicaid system and
oversee all providers diamond plan balances to ensure they don't go
over the limit. Download all Medicaid RA's intor Laserfiche, help
with getting retro authorizations for Medicaid patients and file
Medicaid Extension of Benefits. Help train new front desk employees
on insurance and referrals. Perform any other related duties as
required or assigned.
Requirements:
QUALIFICATIONSTo perform this job successfully, an individual must
be able to perform each essential duty mentioned satisfactorily.
The requirements listed below are representative of the knowledge,
skill, and/or ability required. EDUCATION AND EXPERIENCEHigh School
Education or GED. Minimum of 3 years clinic level billing, appeals,
reconsideration and denial claims processing. Medicare and Medicaid
claims experience preferred. Knowledge of basic insurance
information, medical billing/collection practices, basic medical
coding and third-party operating procedures and practices, basic
medical terminology and knowledge of insurance industry a plus.
Previous clinic or medical office experience highly
preferred.Knowledge:Knowledge of basic insurance
information.Knowledge of medical billing/collection
practices.Knowledge of basic medical coding and third-party
operating procedures and practices.Knowledge of basic medical
terminology.Knowledge of insurance industry.Skills:Skills in
establishing and maintaining effective internal and external
working relationships.Skills is using computer programs and
applications.Abilities:Ability to enter accurately data and examine
insurance documents.Ability to deal courteously with patients,
staff and others.Ability to communicate effectively and
clearly.Ability to be a TEAM PLAYER.Ability to establish and
maintain effective working relationships with patients, employees
and the public.Work is performed in an office environment. This
position involves frequent contact with staff, patients and the
public. Work may be stressful at times. This is a full-time
position. Days and hours of work are Monday through Friday
approximately 40 hours with some flexibility on start and end
times. Must be available by phone during clinic hours of
operation.PI202078768
Keywords: Arkansas Urology, Little Rock , Insurance Specialist, Other , Little Rock, Arkansas
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