Insurance Specialist - Seven Counties Services - Louisville, KY

Insurance Specialist - Seven Counties Services - Louisville, KY -

Underneath basic path from supervisor, assists in completion of the knowledge on insurance varieties. Liable for the processing and comply with-up on all insurance and affected person billing for providers rendered. Submits insurance claims well timed with a view to meet well timed deadlines. Keep a radical information of Medicare, Medicaid, Tricare and Business Contracts. Assists in insurance corporations and follows up on unpaid claims. Keep a working information of the digital submission course of, doctor workplace billing system, medical terminology and ICD-9 and CPT coding. Work intently with physicians and workplace employees to satisfy the wants of the client, tracks accuracy of insurance funds.

ESSENTIAL JOB FUNCTIONS

Completes info on insurance types.

Completes 1500 HCFA insurance for specs required by insurance corporations to permit for well timed cost.

Maintains a workable information relating to specs in billing Medicare, Medicaid, Tricare and Business: monitoring these accounts to satisfy specs.

Screens 1500 for demographic, CPT and cost accuracy.

Screens present payment schedule and recommends as vital, in compliance with state and federal regulation.

Help insurance corporations inquiring about accounts relative to insurance advantages deposition.

Demonstrates information of the private pc and relevant keystrokes within the digital transmission of claims, together with the correction of claims with minimal interruption.

Maintains a workable information of the doctor billing system.

Follows up on unpaid claims for each insurance and sufferers by way of telephone, fax or mail, figuring out when to turn out to be assertive.

Identifies overpayments on affected person accounts and initiates refund and adjustment course of in accordance with inner controls.

Reply telephone and assists clients promptly and courteously who age by means of geriatric or who’re emancipated minors. Additionally assists doctor workplaces promptly and courteously. IP

Maintains a working information of PCN, retrieving info as wanted for every day work disposition.

Maintains strict affected person confidentiality.

Performs particular assignments as required.

Capable of show correct utilization of workplace gear.

Researches line merchandise EOB’s for incorrect cost ranges and works immediately with insurance corporations for assurance of advantages and proper reimbursement by means of oral and written communication.

Screens and maintains management for balancing functions.

Screens applicable codes utilizing the ICD-9 and the CPT codecs.

Prints, critiques and mails all insurance claims as wanted regularly.

Responds to and/or directs all correspondence.

Maintains direct line of communication with the suppliers and employees. Communicates with the AR Supervisor relating to drawback areas.

Maintains information of Company Compliance points pertaining to every day work.

Performs different duties as assigned.

Required Expertise

KNOWLEDGE AND ABILITIES

Highschool graduate or equal required.

Productive typing capacity equal to 30 w.p.m. required.

Appreciable talent in interpersonal communications and the power to work properly with others as a staff required.

Capacity to maintain correct monetary data and carry out mathematical duties required.

Information of medical terminology, ICD-10 and CPT coding required.

Information of E/M procedural coding most popular.

Pc information required.

Information of Home windows most popular

Required Expertise

EXPERIENCE

Minimal of two years of expertise in a medical billing setting working with insurance and affected person claims processing required.

PHYSICAL DEMANDS

Place has no uncommon calls for. Typical workplace job, requiring lifting of 10 kilos most, with occasional lifting and carrying of medical data. Place might require strolling or standing, stooping, or bending. Minor discomfort from continuous use of video show terminal.

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