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Are you an energetic, ambitious self-starter who thrives on being on the phone – ensuring patient bills are submitted correct so that insurance payors reimburse for services rendered? Are you driven to succeed, and being recognized for your success? Wouldn’t you love to be a part a team where management is focused on nurturing a strong culture? If so, come join us at BetterNight.
BetterNight is a professional medical service and supply company, focused on sleep & sleep therapy. Our focus is on diagnosis on sleep apnea through home sleep study and treatment through the use of CPAP therapy or oral appliance therapy.
SUMMARY
This position is responsible for reviewing insurance billing, contacting insurance companies via phone or web, submitting claims and working with insurance companies to receive payment for services rendered. Works within our billing software (Brightree). The expectation of this position is to provide a first-class service experience, with every customer or payor interaction.
CORE RESPONSIBILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Responsible for all insurance related billing and collecting.
Understands and can interpret EOB’s.
Knowledge of insurances within California and payment rules.
Knowledge of BetterNight policies/procedures and the Brightree computer system.
Assists internal staff, referral sources and patients with billing issues.
Consistently meets department expectations and KPI’s regarding all Billing.
Maintains a positive attitude and continually works toward process improvements while building and maintaining positive working relationships between other departments and outside customers.
Reviews and corrects electronic claim submission rejections.
Ensures all related price quotes given to patients are appropriate and meet current company pricing policy.
Any other project assigned, including batching and scanning EOB’s (explanation of benefits) for patients.
Responsible for keeping all patient details and information orderly, confidential, current and HIPAA compliant at all times
Must be knowledgeable in-Patient Rights and Responsibilities.
General clerical duties such as filing, photo copying, data entry, scanning as assigned.
Work mandatory overtime as scheduled
Other duties and projects may be assigned
QUALIFICATIONS & SKILLS
Strong commitment to patient care, customer service, friendly, helpful and caring nature is required
Knowledge of all commercial, government, managed care, and federal health insurance plans
Strong oral and written communication and problem-solving skills.
Ability to interface with all level of employees (peers to senior management) and vendors in a polite and professional manner
Ability to read, analyze, and interpret contracts & technical procedures
Ability to write reports, business correspondence, and procedure manuals
Ability to effectively present information and respond to questions from groups of managers, employees, and the general public
Must be able to work overtime as scheduled
EDUCATION & EXPERIENCE
HS diploma or equivalent required
Experience must be 2-3 + years in healthcare billing and/or collections
DME (Durable Medical Equipment) experience preferred
Click here to apply: https://recruiting.paylocity.com/recruiting/jobs/Details/475024/Sleep-Data-Services-LLC/Insurance-AR-Representative-02252021
