Posted: Dec 31, 2025
About the position Responsibilities • Submit electronic and hard copy billing and conduct follow up with third party carriers for insurance claims. • Investigate and coordinate insurance benefits for insurance claims across multiple service lines. • Obtain claim status via the telephone, internet, and/or fax. • Review and understand eligibility of benefits. • Resolve accounts as quickly and accurately as possible, obtaining maximum reimbursement, and perform investigative and follow up activities in a fast-paced environment. • Conduct research, contact patients, and the local affiliates to include VA, Hospitals, and insurance carriers. • Handle incoming and outgoing mail, scanning, and indexing documents and handling any other tasks that are assigned. • Research and verify insurance billing adjustment identification to ensure proper account resolution and act when necessary. • Identify contractual and administrative adjustments. • Work independently or as a member of a team to accomplish goals. • Demonstrate excellent customer service, communication skills, creativity, patience, and flexibility. • Follow established organization guidelines to perform job functions while staying abreast to changes in policies. • Correspond with hospital contacts professionally using appropriate language while following the specific facility and department protocol. • Uphold confidentiality regarding protected health information and adhere to HIPAA regulation. • Interact with all levels of staff. • Cross train in multiple areas and perform all other duties as assigned by management. Requirements • High School Diploma or equivalent. • Bachelor's degree preferred, or equivalent combination of education, training, and experience. • Prior experience in Insurance follow-up, claims processing, or medical billing preferred. • Prior experience with Medicaid claims preferred. • Write grammatically correct routine business correspondence. • Speak on a one-on-one basis using appropriate vocabulary and grammar to obtain information, explain processes, etc. • Speak clearly and distinctly on the phone with exceptional etiquette. • Collaborate with others on projects and/or special assignments. • Prioritize assignments to complete work in a timely manner, adjusting as circumstances dictate. • Work independently and follow-through on assignments with minimal direction. • Analytical skills and the ability to make appropriate decisions independently. • Complete heavy workload within established time frames. • Proficient in Microsoft Word, Excel and other desktop software. • Problem solver with the ability to identify issues, provide feedback and follow-up to resolution. • Encourages team members to deliver their best performance, providing expertise and direction when applicable. • Demonstrates ability to learn new systems and processes. • Effective organizational time-management and detail oriented skills to handle multiple tasks and ensure accuracy. Nice-to-haves • Experience with medical billing software. • Knowledge of HIPAA regulations and compliance. Benefits • Unlimited opportunities for advancement. • Full benefits package including health, dental, vision, and life insurance upon hire. • Matching 401k. • Competitive salaries. • Incentive programs. Apply tot his job
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