TITLE: Insurance Specialist
GENERAL SUMMARY OF DUTIES: Responsible for answering incoming telephone calls while explaining
billing to patients and insurance companies.
Performs various routine clerical tasks to ensure prompt posting of
insurance EOB's, to ensure prompt turnaround of disability forms to patient,
and to send out insurance claim forms.
REQUIRED: Business Office Manager
phone inquiries and occasional face-to-face inquiries regarding status of
accounts, explaining charges, credits, balances, etc.
patients claims as needed, working with the insurance company and/or
patient as needed.
that patient accounts are set up with proper insurance information and
charges are billed to correct insurance bill types, sometimes pulling
charts or calling patients to get correct insurance information.
paper insurance claims for primary and secondary claims as necessary.
SKILLS & ABILITIES:
filing and computer knowledge is needed.
knowledge of insurance is helpful.
medical terminology helpful.
- Adequate and appropriate levels of oral and
written communication of the English language
- CPT and ICD-10 coding
- Insurance rules and guidelines for
High school diploma or equivalent.
setting. Frequent telephone calls and
other interruptions, which requires being able to handle a fast-paced work
environment during entire time at work.
Must be able to prioritize multiple projects. Must maintain strict confidentiality and
exercise professionalism when interacting with staff, managers, supervisors,
physicians, external customers, etc.
continuous standing, sitting, frequent walking, bending, and stooping. May require lifting 50 to 100 pounds. Exposure to possible Hazardous
Materials/conditions and infectious diseases.