Insurance Follow-Up/Billing Specialist

Astera Cancer Care; Hillmont (AL); On-site; USD 42,000 - 56,000; Full time

Job summary

Clearview Cancer Institute in Alabama seeks an Insurance Follow-up and Billing Specialist to ensure efficient payment processing and timely claims resolution. You will post payments, analyze denials, and collaborate with payers across multiple systems in a busy outpatient setting.

The ideal candidate has at least 3 years of medical billing experience, strong math and communication skills, and a solid understanding of CPT/ICD-10 terminology as well as Medicare/Medicaid processes.

Qualifications

• High school diploma or equivalent.
• At least 3 years of medical billing collection experience.
• Strong knowledge of CPT, ICD-10, UB, HCFA, and 835 terminologies.
• Excellent math, communication, and problem-solving skills.
• Experience with Medicare, Medicaid, Blue Cross, and commercial carriers.

Responsibilities

• Post patient payments and follow up on outstanding claims.
• Process billing office reports and work with payers to resolve denials.
• Identify and resolve issues preventing claim resolution.
• Utilize multiple systems to submit and correct claims.
• This position does not have direct patient contact; office-based work.

Skills

Interpersonal skills

Customer service

Attention to detail

Problem solving

Research skills

Mathematical ability

Verbal communication

Computer skills

Education

High school diploma or equivalent

Tools

Billing software

Medical billing systems

Job description

Clearview Cancer Institute is north Alabama's leading cancer treatment facility. For over 30 years Clearview Cancer Institute has provided leading-edge treatment and compassionate care to those diagnosed with cancer or blood disorders. Clearview offers every service and amenity needed in an outpatient setting and our dedication to research and involvement in Phase I-IV clinical trials gives our patients the opportunity to receive potentially life-saving treatment options.Why Join Us? We are looking for talented and highly-motivated individuals who demonstrate a natural desire to support the meaningful work of community oncologists and the patients we serve.Job Description:Job PurposeThe purpose of the Insurance Follow-up and Billing Specialist is to ensure that issues related to payment are handled in an efficient and effective manner.Essential Job FunctionResponsible for Insurance Payment Posting and Follow-UpProcessing billing office reports.Work with payers to resolve issues and facilitate prompt payment of claims.Resolve insurance processing errors and denials.Identifying and resolving any and all outstanding issues preventing claim resolution.Working numerous systems in submitting and correcting claims.Other duties assigned.QualificationsMust have excellent interpersonal and customer service skills.Must be detail-oriented.Must have strong problem-solving and research skills.Must have excellent math, verbal, and communication skills.Must be proficient in various computer software.Must have thorough knowledge and understanding of patient billing, claims submission, and payer specific requirements.Knowledge of payers including Medicare, Medicaid, Blue Cross, and other commerical health insurance carriers.Education/ExperienceMust have a high school diploma or equivalent.Must have at least 3 years collection experience in a medical practice or facility with a proven track record of success in billing, reimbursement, and follow-up.Comprehensive knowledge of insurance plans, member eligibility, and medical billing.Must have strong background in Medicare and Medicaid claims processing and reimbursement.Must have understanding of CPT, ICD-10, UB, HCFA, and 835 terminologies.Working conditionsThis position works in the business office of a busy outpatient oncology/hematology clinic. This position does not have direct patient contact.Physical requirementsThis position requires that the employee be able to work at a desk and on a computer for up to eight hours a day. Employee must be able to do work via telephone for several hours a day as well.Direct reportsThis position is not a supervisory position.