Who We Are: We are an established healthcare group with eight clinic locations throughout the New River and Roanoke Valley. We are currently recruiting for a full-time team member to work as a New Patient and Claims Resolution Specialist in our Administrative Offices, located in Roanoke, VA.
The NP & Claims Resolution Specialist is an important role within Tuck Chiropractic Clinic and the Support Center. This position will first and foremost be responsible for processing NP insurance information, claims processing and servicing for all clinic locations. The NP & Claims Resolution Specialist will also diligently work to identify errors and provide assistance to clinics in the area of billing. This position will work in the capacity of a customer service representative, working to resolve insurance and unresolved claims questions.
Job Responsibilities
● Monitor and Process NP Paperwork to create and update patient’s record
● Verify patient insurance benefits and edit Eclipse to properly reflect benefits before the patient’s first visit.
● Monitor and engage with clinic staff on their A/R Aging Reports.
● Troubleshoot issues and answer questions regarding insurance and patient ledgers.
● Obtain and Process Level 2 claims issues daily (from Billing Supervisor).
● Research and resolve unpaid/ denied level 2 claims
● Work diligently to acquire reimbursements from the insurance companies for the unresolved claims.
● Generate balance/credit memos for patient accounts as necessary
● Assist in the posting of patient account payments as necessary
● Complete end of month processes (Ex: Balance/credit transfers, account adjustments etc.)
Required Experience:
- High school diploma or GED required.
- Coding / Billing / Insurance / Medical experience preferred.
- Previous Medical or Office experience preferred.
- One year of customer service experience preferred.
A successful candidate must exhibit the following attributes:
● Excellent verbal and written communication skills, including ability to effectively communicate with internal and external customers.
● Excellent computer proficiency - Microsoft Office, Eclipse Electronic Health Records (EHR) system.
● Must be able to work under pressure and meet deadlines, while maintaining a positive attitude and providing exemplary customer service.
● Ability to work independently and to carry out assignments to completion within parameters of instructions given, prescribed routines, and standard accepted practices.
CLASSIFICATION: Hourly/Nonexempt; Full-Time
BENEFITS PACKAGE: Health Coverage (Health, Dental & Vision, Life), Paid Holidays, Paid Time Off; Retirement Program with Company Match & Courtesy Chiropractic Care for all employees.
HOW TO APPLY: Please submit a cover letter and resume. For more information visit our website at https://tuckclinic.com. No phone calls please.
Job Type: Full-time
Pay: $17.00 - $18.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Employee assistance program
- Health insurance
- Life insurance
- Paid time off
- Retirement plan
- Vision insurance
Physical Setting:
Work Location: In person
