Insurance and Accounts Receivable Specialist

Description Position Details

• Schedule: Full-time
• Location: Office/Hybrid (Training will take place in person)
• Salary Range: Starting $21.50-$24.73/hour (Where an applicant may fall on the salary range will vary based on a variety of factors, including but not limited to experience & education)

• Health Coverage: Medical, Dental & Vision Insurance
• Retirement: 401(K) with Company Match, Profit Sharing
• Time Off: Generous PTO, Holiday Pay, Floating Holiday
• Disability Coverage: Short & Long-Term Disability
• Family Support: Paid Leave and Disability
• Performance Incentive: Discretionary Bonus Based On Company, Department, and Individual Goals

• Ensure all internal and external phone calls (patients, staff, insurance companies, etc.) are handled in a professional manner with a customer service approach.
• Demonstrate an understanding of Electronic Practice Management (EPM) and Electronic Health Records (EHR) within Next Gen software as it relates to insurance, demographics, and release of information associated with the daily functions of the Business Office.
• Understand the process from the time patient schedules an appointment, front desk procedure, coding, billing, application of payment, and collections.
• Work closely with patients, insurance companies, and co-workers to address or resolve any concerns while maintaining HIPAA compliance.
• Monitor remittance advice for details including denials and payment inconsistencies.
• Submit replacement claims and appeals to the insurance companies; submit timely follow up requests for status.
• Assists as needed in processing insurance payments so that all accounts are up-to-date and accurate.
• Complete insurance Payer Audits quarterly to ensure payments are accurate per our contracted rates.
• Run service item reports to verify correct payment/information for processing claims.
• Must have knowledge and understanding of CMS billing guidelines for submitting accurate information on claims.
• Knowledge on new insurance plans each year.
• Research insurance portals
• Maintain information from insurance bulletins
• Understand how to set up new insurance and update all pertinent documents in MNGI
• Any and all other duties as assigned.

Essential Functions: In order to perform this job successfully, an individual must be able to perform each essential function satisfactorily and regular attendance is required. The responsibilities listed below are representative of the primary essential functions required; additional duties may be assigned. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• High School Diploma or GED required.
• 1-2 years of experience in a business office/billing setting.

Qualification Requirements: The qualifications listed below are representative of the knowledge, skills, and/or abilities required to perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Microsoft Office applications
• Insurance payers

• Compassionate patient care
• Active listening
• Problem solve, prioritization, and critical thinking
• Attention to detail
• Organization and time management

• Multitask
• Communicate effectively verbally and in writing
• Work independently as well as in a team environment
• Type proficiently and accurately

Physical Requirements: The physical requirements described here are representative of the physical demands required by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee may be required to walk, sit, stand, reach overhead, and bend to the floor. The employee is regularly required to talk and hear. The employee is required to use dexterity of hands and fingers to operate a computer keyboard, mouse, and other office equipment. Specific vision abilities required by this job include close vision and ability to adjust focus.

The employee may be…