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Insurance Specialist Salary in USA

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Insurance Specialist (4 openings)
HAYS, Chapel Hill
The final salary or hourly wage, as applicable, paid to each candidate/applicant for this position is ultimately dependent on a variety of factors, including, but not limited to, the candidate's/applicant's qualifications, skills, and level of experience as well as the geographical location of the position.The end client is unable to sponsor or transfer visas for this position; all parties authorized to work in the US without sponsorship are encouraged to apply.Our client is seeking an Insurance Specialist in Chapel Hill, NC.Role DescriptionThe Insurance Specialist position works in all areas of billing and reimbursement from private dental insurance companies as well as Managed Care companies. This position requires specialized knowledge of the insurance industry standards relating to billing and reimbursement in order to perform position duties and a strong understanding of accounts receivable. This position works closely with private insurance carriers, particularly those contracting with the clinics. The duties of this position include filing dental insurance claims and pre-treatment estimates for privately insured patients; obtaining and providing the clinical documentation necessary for claims processing, i.e. x-rays, chart notes and letters of necessity; investigating certain denied claims, following-up on those investigations and submitting claims appeals for those denied claims; scanning of such documentation in the electronic patient record as insurance cards, insurance explanation of payment, provider narratives and insurance consent and regularly auditing patient records for accuracy and completion of billing, coding, and clinical documentation.Skills & Requirements• Requires experience and detailed understanding of medical terminology (ideally dental and ideally an understanding of dental procedural and diagnostic coding).• At a minimum, requires medical coding, electronic claims processing and of insurance policies and contracts for multiple insurance vendors.• Requires customer support experience via phone.• This position answers questions from patients and providers regarding dental insurance benefits, claim status and account summary.• Assisting patients with in-house payment arrangements under the policies of the school advising patient of their options.• This position requires HIPAA compliance.Benefits/Other CompensationThis position is a contract/temporary role where Hays offers you the opportunity to enroll in full medical benefits, dental benefits, vision benefits, 401K and Life Insurance ($20,000 benefit).Why Hays?You will be working with a professional recruiter who has intimate knowledge of the industry and market trends. Your Hays recruiter will lead you through a thorough screening process in order to understand your skills, experience, needs, and drivers. You will also get support on resume writing, interview tips, and career planning, so when there's a position you really want, you're fully prepared to get it. Nervous about an upcoming interview? Unsure how to write a new resume?Visit the Hays Career Advice section to learn top tips to help you stand out from the crowd when job hunting. Hays is committed to building a thriving culture of diversity that embraces people with different backgrounds, perspectives, and experiences. We believe that the more inclusive we are, the better we serve our candidates, clients, and employees. We are an equal employment opportunity employer, and we comply with all applicable laws prohibiting discrimination based on race, color, creed, sex (including pregnancy, sexual orientation, or gender identity), age, national origin or ancestry, physical or mental disability, veteran status, marital status, genetic information, HIV-positive status, as well as any other characteristic protected by federal, state, or local law. One of Hays' guiding principles is 'do the right thing'. We also believe that actions speak louder than words. In that regard, we train our staff on ensuring inclusivity throughout the entire recruitment process and counsel our clients on these principles. If you have any questions about Hays or any of our processes, please contact us.In accordance with applicable federal, state, and local law protecting qualified individuals with known disabilities, Hays will attempt to reasonably accommodate those individuals unless doing so would create an undue hardship on the company. Any qualified applicant or consultant with a disability who requires an accommodation in order to perform the essential functions of the job should call or text 813.336.5570.Drug testing may be required; please contact a recruiter for more information.#LI-DNI #1159033 - Kimberly Moore
Insurance Specialist , North American Surface Transportation, Safety & Compliance
Amazon, Arlington, VA, US
DESCRIPTIONAmazon is seeking a highly skilled and motivated Insurance Specialists within North American Surface Transportation Safety & Compliance (NAST S&C). This role will be conducting investigatory deep dives of daily freight movements flowing into and out of our North American fulfillment centers and our associated fulfillment network. This is an exciting opportunity to join a new team in a huge growth area for Amazon.An ideal candidate has a background in transportation, strong deep dive and analytics skills, and excellent data driven problem resolution skills. The future employee has the ability to pull and analyze data with ease, evaluate multiple signals to determine correct paths, keen awareness of situations which require escalation, and ability to adhere to standard operating procedures. This job will require exceptional communication skills while having the ability to work independently in a high-pressure environment.This position involves working on Thursdays through Sundays, with each day comprising a 10-hour shift.Key job responsibilities- Insurance case management & data analysis for third-party insurance monitoring service- Amazon Freight Partner (AFP) carrier compliance support, insurance monitoring, and carrier insurance monitoring. - Submit Simple Issue Management (SIM) tickets for insurance escalations. - Ability to pull data from numerous databases (using Excel, QUIP, SQL and/or other data management systems) and to perform ad hoc reporting and analysis as needed- Must be able to quickly understand the business impact of the trends and articulate those findings in a way that make sense based on available data- Must be able to systematically escalate problems or variance in the information and data to the relevant owners and teams and follow through on the resolutions to ensure they are delivered- Work within various time constraints to meet critical business needs, while measuring and identifying activities performed- Excellent communication, both verbal and written as you will be required to create a narrative outlining your weekly findings and the variances to goals, and present these finding in a review forum- Assist in data and metrics collection that drive business results- Continual, tactical communication with internal stakeholders (Compliance, Safety, Supply Chain Loss Prevention) and internal customersWe are open to hiring candidates to work out of one of the following locations:Arlington, VA, USA | Nashville, TN, USABASIC QUALIFICATIONS- 2+ years of professional or military experience- 1+ years of working with computers and Microsoft Office products and applications experience- High school or equivalent- Can lift up to 49 pounds, stand/walk during shifts lasting up to 12 hours, and be able to frequently push, pull, squat, bend, and reach- Work 40 hours/week, and overtime as required- Work a flexible schedule/shift/work area, including weekends, nights, and/or holidaysPREFERRED QUALIFICATIONS- Experience with end-to-end project managementAmazon is committed to a diverse and inclusive workplace. Amazon is an equal opportunity employer and does not discriminate on the basis of race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or other legally protected status. For individuals with disabilities who would like to request an accommodation, please visit https://www.amazon.jobs/en/disability/us.
Financial & Insurance Specialist Trainee
#BEMEGA Mentors, Dallas, TX, US
FINANCIAL & INSURANCE SPECIALISTREAD THIS ENTIRE POST THEN APPLYOur team at #BEMEGA is GROWING and we have 3 positions open for new associates.Full training in class and in the field with customers provided.Sales or Customer Service experience requiredThis is a Commission Only positionYOU MUST BE WILLING TO OBTAIN A PROFESSIONAL DESIGNATION AS A FINANCIAL & INSURANCE REPRESENTATIVEWe specialize in hiring great talent and leading them to multi six figure incomes and have been successfully building & launching top performing sales teams for over 20 years.#BEMEGA Is currently expanding our Financial Agent & Insurance Team. We are looking for people with the following qualities;1. Excited about personal and professional growth.2. A students mindset and a great attitude.3. Great work ethic and ability to dedicate TIME to serving customers.#BEMEGA My FriendDustin PritchardPOSITION SUMMARYAs a team member with #BEMEGA, you'll be an integral member of a team that helps clients reach their financial goals. You'll need to be professional and friendly when providing services as you assemble a plan that works for your clients. You'll offer your clients high-quality expert advice.You'll own your book of business from day one and work towards reaching promotions based on personal production while building a team.RESPONSIBILITIESProvide clients with a consultation to determine their current financial situation, including following through on client requests, anticipating client needs, and providing end-to-end guidance.Based on their individualized needs analysis, the financial associate prepares recommendations for customized financial solutions to current and potential customers.- Help clients identify risk and manage it appropriately, by understanding the latest developments in the financial world and sharing with client’s information that can help them make informed decisions.- Complies with all the company's risk and regulatory standards, policies, and controls.REQUIRED SKILLS- You can think creatively and solve problems in a fast-paced environment.- You have excellent problem-solving and analytical skills, including the ability to make sound judgments based on available data and information.- You establish relationships with new and existing clients, gaining insights into their unique needs through conversations, establishing trusting rapport that leads to long-term business partnerships.- You must have integrity.- You are caring, reliable, and have a servant attitude.- You are a listener and an effective communicator.- You are both generous and humble.- You are ambitious with the qualities of a teacher.- You are dedicated and passionate.- You are a visionary and a mover.- You possess a positive outlook and are relatable.- You maintain a clean and professional appearance.- You have reliable transportation.- You are looking for a fresh start with a company that makes a REAL difference.- Our associates need to be self-directed, hardworking individuals.- You are a quick learner, wanting to provide the absolute best to your clients and can go to them for the most personalized and convenient service.(This is not a salary-based position)If this resonates with you, apply and we will set up an interview.#BEMEGA My Friend,Dustin PritchardExecutive Mentor
Insurance Specialist / Senior Insurance Specialist
AgCountry Farm Credit Services, Fargo
We are seeking an Insurance Specialist/Sr Insurance Specialist to join our team! One candidate will work in our Fargo, ND office, and another in our Valley City, ND office.In this role, you will proactively deliver a variety of customer-focused insurance products and services to ensure satisfaction and retention of current customers and attract new customers. You will also develop and maintain expertise in various insurance products and provide processing and technical training/direction to branch staff in insurance. Current crop insurance license and experience are preferred, but we are willing to train the right candidate. If you are a team player; have a bachelor's degree in agriculture, business, finance, or related field, or have experience working with farmers and ranchers in a sales environment; and have excellent analytical and communication skills, apply today, and GROW your career with AgCountry!Check out these amazing benefits you'll get as an AgCountry employee:* Family friendly work environment * A company focus on employee development, career growth, and education * New employees start with 3 weeks of vacation per year (increases over time)* All employees earn 15 days of sick leave per year* Time off also includes 12.5 paid company holidays* We're proud of our industry leading 401k employer contribution up to 9% (3% fixed, 6% matching)* 4 weeks paid FMLA leave (includes parental leave)* Annual bonus pay opportunity * Company paid disability and life insurance * Paid volunteer time* Employer paid logo clothing program* Fitness reimbursement* Employee wellness programsWe are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristics protected by law. recblid 9zxh0ao2i2i40nsowjmti0u1308x55
Inpatient Hospital Claim Insurance Specialist
Medasource, White Plains
Position title: Insurance Follow-Up Representative Duration: Full-Time position (Direct hire @ our client) Salary: $55,000- $70,000Schedule: Monday - Friday 8:00 am - 5:00 pm ESTLocation: Fully On-sitePosition SummaryResponsible for initiating follow-up to third party payers on delinquent accounts and reviewing insurance correspondence and responding in a timely manner. Responsible for supplying third party payers with appropriate billing information in order to adjudicate a claim. Responsible for assuring appropriate payment received in accordance with contract terms.Performs other duties as assigned.Essential Functions And Responsibilities Includes The FollowingUnderstands and adheres to the WPH Performance Standards, Policies and Behaviors (Standard for All Job Descriptions).Performs all other related duties as assigned (List last-Standard for all Job Descriptions)Completes review of third party outstanding balances and takes appropriate steps to resolve and reconcile outstanding balancesReviews correspondence for appropriate action to resolve accounts.Researches and initiates refunds to patients or insurance carries as needed.Sends inquiries to patients regarding inaccurate or incomplete information.Completes charge adjustments and allowances entries on accounts as needed.Recodes accounts by insurance carrier and plan number and enters into the HIS for re-billing purposes.Processes rejections on third party accounts.Reviews on-line billing edits for errors, corrections or missing information. Enter necessary corrections into HISAssists with telephone calls as needed.Works with vendors as necessary to reconcile and resolve outstanding accounts.Assures payers process claims timely and according to contract provisions.Education & Experience RequirementsHigh School Graduate requiredClerical Experience PreferredHospital business office experience REQUIREDComputer Experience RequiredCore CompetenciesTeamwork, Communication skills, problem-solving, adaptabilityPhysical/Mental Demands/Requirements & Work EnvironmentMay be exposed to chemicals necessary to perform required tasks. Any hazardous chemicals the employee may be exposed to are listed in the hospital's SDS (Safety Data Sheet) data base and may be accessed through the hospital's Intranet site (Employee Tools/SDS Access). A copy of the SDS data base can also be found at the hospital switchboard, saved on a disc. (Standard for all Job Descriptions) ï'Must be able to remain in stationary position at least 50% of the time ï'The person in this position needs to occasionally move about inside the office to access file cabinets, office machinery, etc ï'Constantly operates a computer and other office productivity machinery, such as a calculator, copy machine and computer printer ï'The person in this position will need to communicate with insurance plans and patients that may have questions. They must be able to accurately exchange information in these situations Primary Population ServedTop 3 Skills: Previous HOSPITAL billing, calling, and following-up on claims & Disputes. Medicare & Commercial insurance experience Reliability
Risk Management and Insurance Specialist
Javits Center, New York
The Javits Center (NYCCOC) has been considered the busiest convention center in the United States, hosting the world's leading conventions, trade shows and special events on Manhattan's West Side. These large-scale events have generated more than $2 billion in annual economic activity for New York City and New York State, supporting as many as 18,000 jobs in and around the facility. Located on 11th Avenue between West 34th Street and West 40th Street, the iconic structure has played a prominent role in New York's recovery and resurgence, and with a state-of-the-art expansion project recently completed, the venue features more than 850,000 square feet of total exhibition space, two new floors of new meeting room space, a rooftop pavilion and terrace, as well as a range of catering, sustainability, and technology services.Position Summary:Under the direct supervision of the Controller & Treasurer, the functions of the Risk Management and Insurance Specialist are detailed below.The hiring range for this position is $70,000.00 - $85,000.00 annually (paid on a bi-weekly basis). The rate of pay offered will be dependent upon the candidate's relevant skills and experience.Interested candidates must be willing to work full-time onsite at the Javits Center and must be fully vaccinated against COVID-19 and any additional vaccinations against COVID-19 as recommended by health officials during your employment.Key Job Accountabilities:Protect the assets of NYCCOC by evaluating risks and exposures and taking the appropriate action to transfer the risks to third parties or through placement, and subsequent management of the proper insurance coverages.Assess risk profile for NYCCOC and identify appropriate insurance programs to manage and mitigate the Corporation's risk. Insurance programs include General Liability, Property, EPLI, Terrorism, D&O, Workers Compensation, Builder's Risk, Cyber Security, Crime, and Business Interruption.Manage and investigate in-house claims and insurance carrier claims, including providing supporting claims documentation, coordinating defense strategies, and negotiating settlements with claimants, carriers and third parties.Review and analyze contracts between NYCCOC and show management for events, service providers and contractors, and respond to in-house inquiries to evaluate the potential risks and exposures and recommend the appropriate insurance coverages to NYCCOC's management; review legal-related documents.Develop and manage budget regarding premiums, claims, and costs related to managing and defending claims.Compile and submit underwriting data used to market renewal.Manage competitive bidding process for insurance renewals.Assist in the implementation of the contracts management software solution.Compile, review, and evaluate Certificates of Insurance.Engage with show management and insurance brokers to increase/improve coverages to satisfy insurance requirements.Liaise with internal departments regarding workers' compensation claims, incident reports, and insurance related matters.Provide interdepartmental communications regarding insurance related matters.Required Qualifications:Bachelor's degree or equivalent.Minimum of 1-3 years of experience in insurance and/or risk management.Experience in health and safety is a plus.Ability to communicate clearly and efficiently verbally and in writing.The policy of this company prohibits any employment practice which in any way discriminates or tends to discriminate against any person, employee, or employment with respect to conditions or privileges of employment because of an individual's race, color, religion, national origin, ancestry, marital status, non-job-related disability, past service in the Armed Forces of the United States, sex, or age as provided by law. NY CONVENTION CENTER OPERATING CORPORATION IS AN EQUAL OPPORTUNITY EMPLOYER. In adherence to our commitment to fostering an inclusive and accessible workplace, the Javits Center extends its dedication to providing reasonable accommodations. Candidates requiring adjustments during the application process or employees seeking workplace accommodations are encouraged to liaise with our Human Resources department. Our organization is unwavering in its resolve to ensure equitable opportunities and a workplace environment characterized by support and fairness for all.
Administrative Coordinator / Insurance Specialist
Massachusetts General Hospital(MGH), Boston
Under the general supervision of the Administrative Manager and per the established policies and procedures, the Insurance specialist is responsible for overseeing the Radiation Oncology authorization process. Working very closely with nurses, physicians and other clinical staff members to ensure a quality-based, customer-oriented flow of work throughout the practice. Serves as the subject matter expert in radiation oncology authorizations, and is the resource person for support staff, intake manager and all clinical staff.Understands all insurance medical policies, including managed care plans, HMO's and unusual coverage. Determines eligibility and obtains Prior authorizations and Pre-determination from third party payers for all types of radiation procedures (i.e. Proton, IMRT, VMAT, SRS, SBRT, 3D). Requires understanding of coordination of benefits, and references medical policies for coverage. Provides information to patients regarding eligibility for radiation services.Responsible for locating medical policy on insurance website and determining eligibility using external resourcesResponsible for providing necessary information as required by third party payer, and completing required pre-authorization forms (payer specific)Will set up peer to peer review with the physician and third party, documenting outcomeResponsible for obtaining a letter of medical necessity for radiation treatment from the physicianInforms patient and physician of any potential problems with coverage or authorization prior to scheduling appointmentResponsible for obtaining all authorizations, in an appropriate time frame. Must have great time management skills as well as great follow through to see the authorization from start to finishWill require an understanding of radiation oncology CPT codes for treatment authorization, as well as ICD10 codes for diagnosisWill be required to work very independently and function at a very high level in order to complete pre-auth and pre-D form submissionAttends Proton rounds every Tuesday and communicates to physicians any potential insurance barriersResponsible for updating "Whiteboard" with authorization informationAttends weekly managed care meetingsWill work to obtain an estimate of charges for the international office or at any patient requestMaintains excellent records (electronic and otherwise) of all referrals and inquiries.Participates in an open line of communication with the team (adult and Pedi) to collaborate, exchange information and review patient scheduling statusMay be required to provide clinical documentation for insurance reviewWill be responsible for working the RO Insurance mailboxResponsible for working any patient denial and appealResponsible for working Epic work queuesResponsible for accuracy and quality of individual work assignment, and a willingness to assist other team members validating the importance and value of team successQualifications QUALIFICATIONS:Associates Degree or higher preferredMinimum of 5 years of healthcare experienceKnowledge of third party payers a plusKnowledge of ICD10 and CPT coding a plusMust have basic knowledge of Anatomy and PhysiologyMedical terminology and medical coding knowledge desired.Excellent customer service and communication skillsGood organizational skills required to handle multiple tasks in a busy environmentBasic knowledge of Outlook, word and excel. Will train in department system.Ability of work independently and prioritize work.Excellent customer service and communication skillsGood organizational skills required to handle multiple tasks in a busy environmentWillingness to continually learn and grow as a member of a Team and DepartmentThe right candidate must have a positive attitude, quick mind, and thrive with working under strict time lines.EEO Statement Massachusetts General Hospital is an Affirmative Action Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.
Mortgage Insurance Specialist
New American Funding, Austin
Location: Austin, TX- Full time in office. M-F 8am-5pm CST.Pay: $24/hr.- $26/hr.Title: MI SpecialistThis position requires the ability to research issues involving mortgage insurance, and monthly billing payment and reconciling. MI Specialist will be responsible for handling FHA Mortgage Insurance (MI), Private Mortgage Insurance (PMI), and USDA loans. Duties and Responsibilities: Monitoring and reviewing automated files to ensure timely and accurate payments of MI/PMI/USDA;Researching and resolving any issues related to MI/PMI/USDA loans;Maintenance of loans, such as transferring FHA case numbers for service release loans, updating MI/PMI lines, processing changes on PMI insurer websites;Assisting borrowers with questions or issues over the phone and e-mail;Communicating with other departments, private insurance companies, and investors;Reviewing and processing PMI waiver requests in accordance with investor guidelines;Processing monthly PMI terminations;Training MI Specialists as needed;Reviewing daily, weekly, and monthly reports related to MI/PMI/USDA;Handling ad hoc MI/PMI/USDA Reporting as directed by management;Reviewing and updating MI/PMI/USDA procedures;Creating MI/PMI/USDA letters;Other duties as assigned. Desired Education/Experience : Bachelor's degree in Business or equivalent work experience;Candidate must have at least 2 years of Mortgage Servicing experience;In depth knowledge of MSP, with at least 2 years recent experience working with MSP;Candidate must have at least 2 years of experience analyzing and documenting complex business processes. Key CompetenciesHas knowledge of commonly used terminology, concepts and practices and procedures within the mortgage industry;Ability to meet deadlines while working under pressure;Handle simultaneous tasks and projects in a fast-paced environment.Able to work independently, as well as part of a team;Good business writing skills;Excellent business math skills;Analytical and organized;Excellent verbal and written communication skills;Strong PC skills. Must be proficient in MS Windows, MS Outlook, MS Office Suite, MS Visio, MS SharePoint and MS Project;Ability to interact professionally with a diverse group, including senior executives, managers, subject matter experts, and third-party business partners. Other Duties: This job may require frequent sitting or standing for long periods of time. This job profile is not intended to be an all-inclusive list of job duties and responsibilities, as one may perform additional related duties as assigned in order to meet the needs of the organization.Work Authorization: Must be able to verify identity and employment eligibility to work in the U.S.[EOE/M/F/D/V. Drug-free workplace.]Physical Demands: The physical demands described here are representative of those that must be met 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. Must be able to lift up to ten pounds. Primary functions require sufficient physical ability and mobility to work in an office setting; to stand or sit for prolonged periods of time; to occasionally stoop, bend, kneel, crouch, reach, and twist; to lift, carry, push, and/or pull light to moderate amounts of weight; to operate office equipment requiring repetitive hand movement and fine coordination including use of a keyboard; and to verbally communicate to exchange information. VISION: See in the normal visual range with or without correction. HEARING: Hear in the normal audio range with or without correction.
Sr. Construction Contract and Insurance Specialist
Roth Staffing Companies, El Cajon
Sr. Contracts and Insurance Specialist- must have strong contracts and insurance compliance experience in the construction field. This position requires strong contract review and constrution insurance knowledge. should have nowledge working closely with construction Unions.Direct Hire$95,000-$115,00 yearlyOnsite with the possibilty of the poisition becoming hybridMonday-FridayCurrently seeking an experienced Sr. Contracts and Insurance Specilaist for a large construction firm. The Sr. Contracts and Insurance Specialist is responsible for overseeing all matters related to insurance and contracts, interfacing with the President/CEO, Unions and relevant employees, clients, subcontractors, and coordinating activities with designated internal and outside counsel. Review contracts, handle pre-lim notices, DC16 forms, request certifications of insurance, prepare client staements for review and many other related requirements.This position requires 5+ years Contracts experience in the Construction field.Construction Insurance experienceExcellent communication and written skillsKeen eye for detailsHighly organized with the abilty to juggle multiple projects at onceStrong computer profiency in MS Office suiteAll qualified applicants will receive consideration for employment without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, medical condition, genetic information, pregnancy, or military or veteran status. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance.
Insurance Specialist
CARTI, Little Rock
Posting insurance payments using established procedures.Contacting insurance companies when necessary to follow up on denials, unpaid or partially paid claims, to pre-certify services or other issues as they arise and documenting on the patient account per established policies.Contacting patients when necessary to obtain current insurance information and ensuring that the information is correctly entered into their account, documenting on the account per established policies.Following up on unpaid claims through the Billing System.Taking phone calls from customers (Patients/guarantors, clinical staff, payors etc.) and answering questions about their accounts while maintaining HIPAA guidelines.Contacting clinical staff and/or patients when necessary to obtain information needed in order to resolve an issue on an account.Requesting correct/updated insurance information from patients so that charges may be billed to the correct insurance company, and following up to ensure that : the information was received and correctly entered on the account; the incorrect charges were refunded if already paid and generate corrected claim forms to the correct insurance company; the charges were paid.Discussing with the Business Services Manager those charges that need to be written off due to timely filing and other issuesBringing reimbursement issues to the attention of the Business Services ManagerChange in reimbursement for a particular codeDenial for out-of-networkBundling/unbundling of CPT codesDenial of services that should have, and normally would have, been paidDecrease in volume and/or dollar amounts of remitsPartially paid claimsNotifying the Patient Service Department when payments are received for bad debt balances.Ensure compliance with regulatory standards.Adhere to Administrative and departmental policies. EDUCATION, CERTIFICATION, LICENSURE, REGISTRATION: High School Diploma or equivalent EXPERIENCE, KNOWLEDGE, SKILLS and ABILITIES: Minimum of two years of medical office billing experienceKnowledge of clinic policies and proceduresKnowledge of medical terminology and insurance practicesKnowledge of computer programs and applicationsKnowledge of grammar, spelling, and punctuation to type correspondenceSkilled in gathering, interpreting, and reporting insurance informationSkilled in trouble-shooting insurance problems and claimsAbility to identify claim problems and recommend solutionsAbility to sort and file insurance forms and associated information REASONING ABILITY: Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.Ability to interpret a variety of instructions furnished in written, oral, or schedule form. INTERPERSONAL SKILLS: Must interact and communicate both verbally and in written form.Must interact and exchange information regarding patients with physicians and other departmental personnel, and outside agencies on a frequent basis while respecting the confidentiality of patient information. PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.While performing the duties of this job, the employee is regularly required to talk or hear.The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.Specific vision abilities required by this job include close vision and the ability to adjust focus. WORK ENVIRONMENT: The work environment described here are representative of those an employee encounters while performing the essential functions of this job. This position involves potential exposure to infectious diseases. Colleagues are offered appropriate vaccinations and safety training. COMMENTS: This description is intended to describe the essential job functions, the general supplemental functions and the essential requirements for the performance of the job. It is not an exhaustive list of all duties, responsibilities and requirements of a person so classified. Other functions may be assigned and management retains the right to add or change the duties at any time. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job.