Billing Specialist IThe Billing Specialist I is responsible for collecting and entering claims, posting insurance, submitting claims, and answering patient inquiries on accounts. Reports to the Billing Supervisor.Essential Duties and ResponsibilitiesEnters information necessary for insurance claims such as patient, insurance, and insurance ID. Insures claim information in complete and accurate.Submits insurance claims to clearinghouse or individual insurance companies electronically or via paper UB04 and/or CMS-1500 form.Answers patient questions on patient responsible portions, copays, deductibles, write-off's, etc. Resolves patient's complaints or explains why certain services are not covered.Follow up with insurance company on unpaid or rejected claims. Resolves issues and re-submits claims.Prepares appeal letters to insurance carrier when not in agreement with claim denial. Collect necessary information to accompany letter.Follows HIPAA guidelines in handling patient information.May perform "soft" collections for patient past due accounts. This may include contacting and notifying patients via phone or mail.Understand managed care authorizations and limits to coverage such as number of visits.Verify patient benefits eligibility and coverage as needed.Prepares and submits secondary claims upon processing by primary insurer.Standards of BehaviorIntegrity: I believe in being personally accountable for doing what is always right.Compassion: I believe in acting on the empathy felt toward the needs of patients and families.Innovation: I believe in being inspired to provide care in new and creative ways.Philanthropy: I believe in being a good steward of the gift of time, deeds and resources for our patients and community.Job QualificationsEducation: High School Diploma or GED required.Work Experience: Medical billing experience highly preferred. Experience in billing software and electronic data submission preferred.Certification/License: N/AMental/Physical RequirementsAbility to receive and express detailed information through oral communications, visual acuity, and the ability to read and understand written directions. Normal mental concentration with repetitive operations for a long period of time. Ability to stand, walk, sit, and reach. Occasionally lifts and transports items weighing up to ten (10) pounds.Working ConditionsStandard office conditions with more than average noise. Periodic contact with conditions such as fumes, noise, chemicals, hazards, and/or diseases.
...instruction of accelerated courses when applicable. We are seeking adjuncts to teach sections in the following discipline: EKG Technician. The standard rate of pay for a four-credit hour/four contact hour course is $2,640 per semester. Examples of Duties...
...About the Family: A loving family in Polson, MT, is seeking a detail-oriented, organized and experienced nanny to care for their 5-month-old daughter. They live in a remote area on a beautiful lake, about 20 minutes from the nearest town. The family is open to being creative...
Digital Forensics Analyst SMEThe Opportunity:Serve as a key member of a 24x7x365 Security Operations Center and Incident Response team, responsible for conducting evidence collection, forensic analysis, data recovery, and reporting in response to incident investigations...
...heartbeat of Christ in the lives of his disciples - and share their sustaining energy. RESPONSIBILITIES: As we look for a Podcast Producer for a best-in class season of stories, we're seeking an experienced hand in audio production to travel, connect, and ask...
A national tutoring platform is seeking tutors to provide virtual instruction to students across the country. Tutors can set their own schedules and rates while enjoying the flexibility of working from home. Ideal candidates have previous tutoring experience and a Bachelor...