Join Our Team at Meduit as an Insurance Processing Specialist
The Role
We are seeking a dedicated Insurance Processing Specialist to join our team. This position focuses on resolving insurance processing errors and denials from a variety of payers, including Medicare, Medicaid, Blue Cross, and commercial health insurance carriers.
Key Responsibilities
- Manage Claims Inventory: Reduce outstanding accounts receivable by effectively managing claims.
- Professional Communication: Speak with patients and insurance companies professionally regarding outstanding balances.
- Information Gathering: Collect and update information from patients, family members, clinical areas, government agencies, employers, and third-party payors both in-person and via telephone.
- Patient Registration: Register patients, gather referrals and pre-authorizations, complete forms, and determine benefits, eligibility, and financial responsibility.
- Data Management: Request, input, verify, and modify patient demographic, provider, and payor information.
- Customer Service: Provide timely responses to questions and issues related to benefits, billing, claims, and payments.
- Quote Services: Answer phone inquiries and provide service quotes in line with company policies.
- Revenue Cycle Tools: Use various databases and specialized software for eligibility verifications, pre-authorizations, and patient account management.
- Explain Charges: Communicate policies and procedures regarding patient financial care services to patients, staff, payors, and agencies.
- Collaborate with Collections: Assist patients and families with billing and payment activities to enhance cash flow.
- Additional Duties: Perform other tasks as assigned.
Qualifications & Experience
- Education: High School Diploma or GED.
- Experience: 2-3 years of insurance follow-up experience with Medicare, Medicaid, and commercial payors.
- Integrity & Teamwork: High integrity, positive attitude, and a team-oriented mindset.
Competencies
- Organizational Skills: Ability to prioritize and manage tasks effectively.
- Communication Skills: Excellent verbal and written communication and interpersonal skills.
- Independent Work: Capability to work independently with minimal supervision.
- Microsoft Office Proficiency: Skilled in using Microsoft Office.
- Problem-Solving: Ability to analyze issues and determine appropriate solutions.
- Billing Knowledge: Understanding of patient billing claims processes and payor programs.
- Technical Skills: Experience with electronic health records and familiarity with medical terminology and coding.
- Regulatory Knowledge: Awareness of applicable federal and state regulations.
Special Requirements
- Language Skills: Ability to read, analyze, and interpret information including training instructions and patient bills.
- Mathematical Skills: Ability to perform basic mathematical operations.
- Reasoning Ability: Communicate effectively with consumers about their bills, providing accurate information.
- Computer Skills: Operate a computer and other office machinery efficiently.
Work Requirements
- Physical Demands: Must be able to remain stationary for over 50% of the time, with accommodations available for individuals with disabilities.
- Work Environment: Quiet indoor conditions, with accommodations available for individuals with disabilities.
Equal Opportunity Employer
Meduit is an Equal Opportunity Employer. We do not discriminate against any employee or applicant based on race, color, religion, sex, age, national origin, disability, military status, genetic information, sexual orientation, marital status, domestic violence victim status, status as a protected veteran, or any other protected class.
Join Meduit and make a difference in the world of healthcare billing. Apply now to become an essential part of our team!
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Medical Billing/Insurance Specialist | Meduit Opportunities (ultipro.com)
