Full Job Description
Full-Time (.75 or greater)
1.00 = 80 hours
The Insurance Call Center Specialist is responsible for one of the lasting impressions a patient will have of Billings Clinic by providing exemplary customer service within the Patient Financial Services Call Center. The Insurance Call Center Specialist will respond to a variety of questions from patients, healthcare providers and/or insurance carriers for both hospital and clinic services, providing assistance in resolving concerns as quickly and efficiently as possible, providing education both verbally and via mail in an effort to manage the patient and/or guarantor’s expectations as a patient/customer of Billings Clinic as it relates to the insurance billing and collection processes. Payment policies will be reviewed as appropriate and/or forwarded to the appropriate Patient Financial Representative. The Insurance Call Center Specialist is responsible for appropriate follow up on all calls until resolved.
The Insurance Call Center Specialist is responsible for preparing and submitting timely and accurate insurance claims to government and third party payers, assisting in the implementation of payer regulations and ensuring compliance to the regulatory requirements, and verifying payments and adjustments are appropriately applied to accounts based on government, contract or other regulations or agreements. Responsible to obtain maximum and appropriate reimbursement for all claims from government and third party payers.
High school graduate or equivalent
One year of previous office experience
Or an equivalent combination of education and experience relating to the above tasks, knowledge, skills and abilities will be considered
Patient accounts or insurance billing experience preferred
Billings Clinic is a community-owned, not-for-profit health care organization in Billings, Montana with approximately 4,000 employees, including over 400 physicians and advanced practitioners. Our integrated organization consists of a multi-specialty group practice and a 304-bed hospital. Learn more about Billings Clinic (our organization, history, mission, leadership and regional locations) and how we are recognized nationally for our exceptional quality.
Billings Clinic is committed to the principles of Equal Employment Opportunity. All policies and processes are designed toward achieving fair and equitable treatment of all employees and job applicants. Employees are encouraged to discuss any concerns they have in this regard with their immediate supervisor and/or the Vice President People Resources. All employees and job applicants will be provided the same treatment in all aspects of the employment relationship, regardless of race, color, creed, religion, national origin, gender, gender identity, sexual orientation, age, marital status, genetic information or disability.