Insurance Billing Specialist, Onsite
We are currently looking for experiences Insurance Billing Specialist!
Must be willing to reasonably commute to the Hopedale IL, this is not a remote position.
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Obtain accurate, ethical, and optimal reimbursement for hospital and hospital-based services, initiate follow-up of past due balances, handle all components of claims processing including management of disputed, rejected, and delayed claims. Develop a thorough understanding of third-party reimbursement requirements. Enter and electronically or hard copy submit billing data, as necessary. Know and understand all policies and procedures of Insurance Billing. Must be a problem solver, have organizational skills, attention to detail, excellent telephone technique and rapport, and computer knowledge.
Responsibilities:
1Insurance Claim Billing
- Reviews patient accounts and verifies data for correct billable services and fees. Ensures all pertinent billing information is documented to produce a clean UB-04 claim.
- Runs daily insurance billing reports and reviews discrepancies. Corrects accounts, as necessary.
- Generated Medicare, Medicaid, and Commercial Insurance claims via electronic and hard copy processes.
- Prior to submission, reviews each claim for accuracy and missing information. Transmits claims electronically to TruBridge.
2 Insurance Claim Follow up
- Follow up on any unpaid claim.
- Follow-up on insurance denials and takes appropriate steps to resolve discrepancies.
- Communicates discrepancies and the need for additional information to the appropriate parties. Obtain supporting documentation to appeal claim payment.
- All collection and follow-up efforts will be annotated in the CPSI computer System.
- Re-bill accounts as needed.
3 Ensure accurate Insurance Payments are received
- Receive daily incoming payments and prepare for posting. Review explanation of benefits and verify patient information, payer, and date of service for all transactions.
- Audit payments against contract terms.
- Compute contractual allowances as needed.
- Non-collectible accounts will be forwarded to the Revenue Cycle Director as soon it is determined they are non-collectible with supporting documentation to be written off.
- Assists patients and insurance companies with questions regarding billing procedures, charges, insurance reimbursement, copies of itemized statements, split billings, payments in office, etc.
4 Accounts Receivable Management
- Monitor and maintain assigned Accounts Receivable at minimal levels.
- All assigned accounts are regularly worked and followed up on.
- Ensure any credit balances are resolved and generate refund requests for over payment as soon as possible.
5 Other Duties as Assigned
- Keep updated on all third-party billing requirements. Serves as a resource person for staff inquiries regarding billing issues.
- Assists with training of staff as necessary.
- Other duties as assigned.
Compensation details: 25-27 Hourly Wage
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