Vacancy expired!
Looking for a full time billing insurance coordinator for medical specialty practice in Medford. This is Mon-Fri 8-5 and pay is DOE.
QUALIFICATIONS:
General knowledge of medical and ophthalmic terminology, general knowledge of ophthalmic procedures, background in medical coding (ophthalmology preferred), knowledge of health insurance, computer and internet savvy, background in accounts receivable and posting payments, responsible, self-motivated with the ability to work with little to no direction, problem solver with ability trouble-shoot and investigate issues.
RESPONSIBILITIES:
Working knowledge of participating insurances and contract provisions, oversee general patient financial
accounts, add new insurance carriers to practice management system, inputting all required information for
reporting programs.
Patient weekly statements, check in system for accuracy, make notes on statement for patient if necessary, attach
sticker as per policy and procedure.
Financial counseling for surgeries/procedures, obtain prior authorization for upcoming appointments, diagnostic
testing, surgery/procedures when needed.
Verify patient eligibility and benefits via electronic submission and reporting process, educate patients regarding
general insurance guidelines when necessary.
Educate staff and answer questions regarding insurance plans, changes to plans/cards, new contracts, copays,
etc.
Proper coding and posting of exams and diagnostic testing (modifiers, bundling/unbundling. Grants Pass clinic,
Eye surgery center, Optical and clinic.
Billing of health insurance (electronic and or manual), medicare, secondary insurance, commercial insurance
and supplement when indicated, HMO/OHP, disability, Medicaid, and numerous insurance entities.
EOB posting of payments for insurance carriers, careful review of EOB, follow-up on denied claims, resubmit
claim when necessary.
Post payments received, process refunds with manager approval, answer calls to billing/insurance department,
filing and maintenance of billing /insurance area.
Monitor delinquent accounts and follow-up reason for non payment, prepare patient charts for non-
payment/collections, and work delinquent accounts with collection agency.
Batch submit billing electronically, end of day balance of collections (petty cash & drawer), prepare deposits.
Upkeep of insurance binders, print updated insurance carrier manuals annually, insurance website and login
information, update with new information, plan changes, for each carrier.
Continuing education on coding, billing, and insurance rules and regulations.
Maintain patient confidentiality per HIPAA/HITECH compliance.
Must be able to pass criminal background checks, drug screen, and current reference checks. Please email resume with wage requirements.
We at A First Choice Service and Medical Registry specialize in medical positions in the Rogue Valley for over 23 years.
