A medical organization in Kannapolis, NC is seeking an individual responsible for insurance claim processing and patient financial interactions. The role involves monitoring payments, processing claims, and ensuring financial agreements are maintained. Ideal candidates should have experience with insurance billing and strong communication skills, providing an opportunity for advancement within a supportive environment.
Qualifications
Experience in processing insurance claims and billing.
Strong communication skills to discuss financial matters with patients.
Ability to document patient information accurately.
Responsibilities
Process and submit insurance claims daily.
Monitor outstanding claims and follow up with patients.
Collect payments from patients according to financial agreements.
Job description
Benefits
401(k)
401(k) matching
Bonus based on performance
Competitive salary
Health insurance
Opportunity for advancement
Paid time off
Profit sharing
Training & development
Responsibilities
Study the most frequently used insurance plans to understand the various nuances to communicate with patients more effectively; document insurance information on the patient chart for quick reference
Process and submit insurance claims daily, including secondary insurance billing
Post all payments
Monitor and follow-up on outstanding claims
Note patient names and the amount they owe so collection over-the-counter can take place during the day
Identify patients in the daily schedule who are a financial concern, note payment problems on the patient charts, and arrange a conference with them either before or at the appointment
Record all financial discussions with patients on the chart and enter information into the computer
Secure a signed financial treatment plan from each patient for diagnosed treatment(s)
Contact patients who have not kept their financial agreement within a 5-day grace period to collect payment per the financial plan
Prepare and mail patient statements each month on a regular billing cycle
Make collection calls
Solidify the financial agreement with the patient, such as payment amount and schedule
Follow through with correspondence regarding collection when unable to contact the patient on the telephone
Prepare and send uncollected accounts to collections or small claims court with employer approval, and follow through as needed. Represent employer in small claims court, if necessary
Monitor patients who have been turned over to a collection agency
Send information as requested by insurance companies: x-rays, charting, narratives, and other documentation for processing the claim when applicable
Provide insurance predetermination documentation to patients, contact the patient to make financial arrangements, and schedule treatment
Correspond with insurance companies; resolve payment delays, requests for additional information, or treatments that have been denied coverage