Files medical insurance claims and explains insurance coverage and payments to patients.
DUTIES AND RESPONSIBILITIES:
- Reviews payments made by insurance companies.
- Reviews insurance rejections and takes appropriate action.
- Compiles reports and resolves outstanding balances.
- Researches denials and calls insurance companies to dispute them.
- Confers with patients about their insurance issues.
- Is responsible for mailing medical information on claims to insurance companies.
- Is responsible for securing referral information for HMO patients.
- Verifies and loads insurance.
- Is knowledgeable of and efficiently operates the Company’s practice management system without error.
- Answers telephone, inquiries and solves problems.
- Sorts and delivers mail.
- Assists departmental staff as needed.
- Corrects any mistakes from all finance departments.
- Receives faxes for all doctors and locations and sorts them.
- Makes insurance adjustments.
- Is responsible for knowing the work schedule, observing work hours and maintaining a good attendance record. (See attached attendance and punctuality requirements.)
- Attends in-service programs.
- Establishes and maintains effective working relationships with supervisors, fellow employees, patients, customers and the public. Exemplifies the Company’s Five Star Program.
- Follows all corporate and departmental policies and procedures and complies with the Employee Handbook.
- Performs other tasks as needed or directed.
The statements listed above describe the principal functions of the job and should not be considered as a detailed description of all the work requirements that are inherent in the position. To perform this job successfully an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations will be made for individuals who are able to perform the essential functions of the job.
DEGREE OF SUPERVISION:
Performs duties under indirect supervision.
PERFORMANCE REQUIREMENTS:
- Reports directly to the Supervisor of Patient Insurance.
- Must be a graduate of an accredited high school.
- Must have least 1 year verifiable of work experience in a doctor’s office or with medical insurance.
- Must have good manual dexterity for operating office equipment. Must be able to function in an office setting.
- Must be able to transcribe information received from patients, including insurance coverage, social security and telephone numbers without error. Should be able to communicate effectively both orally and in writing. Must have basic mathematical skills.
- Physical activity involves typing, writing, reaching, carrying, looking, listening, talking, bending, lifting, standing, walking and much sitting, resulting in light work.
- Light - must be able to lift or carry up to 10 pounds of weight up to 10 feet occasionally (up to 1/3 of the time), or a negligible amount of weight up to 10 feet frequently (from 1/3 to 2/3 of the time). Light work requires sitting most of the time, but may involve periods of standing and walking depending on task requirements.
- Works in an office setting, which is well-lighted, ventilated and temperature regulated. Automobile travel may be required.
- Must be able to concentrate on work tasks amidst distractions, such as noise, conversations and foot traffic.
- Must be able to work in a confined area performing repetitive work for extended periods of time.
- Must have responsible, ethical and professional manner with the ability to listen, learn, plan and organize.
- Must be able to communicate with people of different races, sexes, ages and social classes.
- Must have a valid driver’s license, automobile liability insurance.
Job Type: Full-time
Pay: $16.00 - $18.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Experience:
- ICD-10: 1 year (Preferred)
Ability to Relocate:
- Mobile, AL 36606: Relocate before starting work (Required)
Work Location: In person
