Reports to: Revenue Cycle Director
Exemption Status: Non-Exempt
Supervisory Responsibilities: None
Job Summary: The responsibility of this position is to provide timely and accurate surgery cost estimates to both insured and uninsured patients and secure pre-payments from patients before surgery.
Key Responsibilities:
1. Create estimates for procedures based on the surgical order, fee schedules, MSR, insurance contracts and patient’s insurance benefits.
2. Verifies insurance eligibility
3. Counsels patients on current financial obligations.
4. Calculates and collects patient payment for liability according to procedure estimate and expected reimbursement from verified insurance. .
5. Secures deductibles and co-insurance payments on proposed elective services.
6. Keep detailed documentation regarding communication with the patient.
7. Ability to multitask, organize, keep track of payments on a calendar for follow up if needed, and prioritize a list of assignments independently in a fast pace environment.
8. Ability to job share and effectively work with other team members to do what is best for the patient and Casper Orthopedics.
9. Maintains dependable and timely attendance
10. All employees have the responsibility to comply with the organizational policies, procedures, code of conduct, and pertinent governmental regulations related to the position.
Qualifications and Experience Requirements:
1. High school diploma or equivalent.
2. Two years of experience with the insurance and the collection process in the medical field.
3. Previous experience with calling insurance companies as well as utilizing their online capabilities.
4. Advanced detailed understanding of insurance benefits and how they apply to what the patient’s payment responsibility will be and what payment we will be expecting from insurance on a procedure.
5. Knowledge of registration information, the ability to read an insurance card and a patient’s account including charges and payments.
6. Knowledge of basic insurance contracting and allowable amounts as well as coordination of benefits when the patient has more than one payer.
7. Understanding of basic medical and insurance terminology.
8. Basic knowledge of CPT and ICD-10 and how they apply to preauthorization.
9. Ability to communicate effectively (both in written and verbal form) is essential.
10. Proficiency with use of office software, word processing, spreadsheets are required.
11. A sense of urgency and a commitment to timely completion of tasks with attention to detail along with a commitment to quality.
12. Motivation to pick up additional tasks if workload is low.
Job Relationship: Works very closely with WSC financial counselor and surgery schedulers as well as the business office and clinical staff.
Typical physical demands: This is a sedentary position which may involve long periods of time in front of a computer. Normal visual acuity and hearing are required. Employee may work under mentally stressful conditions and possibly work irregular hours.
*Employee must be able to climb 20 stairs.
Pay: From $18.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Retirement plan
- Vision insurance
Application Question(s):
- How many years of medical billing experience do you have?
Experience:
- Medical Billing : 2 years (Required)
Work Location: In person
