Insurance Specialist - Birmingham, AL

Colonial Group; Birmingham (AL); On-site; USD 38,000 - 52,000; Full time

Benefits offered by this job

Medical/dental/vision/life insurance

401k

Vacation & PTO

Job summary

Colonial Group in Birmingham, AL seeks a Billing Specialist to manage patient accounts, bill insurance companies, and reconcile payments.

You will handle denials, follow up with payers, post payments and adjustments, and respond to patient inquiries while maintaining accuracy and compliance.

This role requires a high school diploma and 2+ years in medical billing; proficiency with Microsoft Office is expected; reports to Billing Director.

Qualifications

• High school diploma or equivalent required.
• Related computer experience, working knowledge of Microsoft Office, Word, Excel.
• Minimum two years’ experience in a medical/billing office setting with a strong knowledge of insurance, managed care, Medicare and Medicaid.

Responsibilities

• Keying patient information into internal information system.
• Analyzes, works, and appeals denials from EOBs and correspondence daily. Flags accounts appropriately.
• Fields patient phone calls.
• Process refunds to patients & insurance companies.
• Post patient, insurance payments, adjustments & denials.
• Answers patient questions on plan issues if the Patient Account Specialists are not able to resolve issues.
• Monitors and reports immediately to management on any claim submission problems.
• Participates in special projects and/or assignments as requested by Manager /Director.
• Resolve insurance claim denials.

Skills

Excellent organizational skills

Excellent telephone skills

Professional interaction with patients

Education

High school diploma or equivalent

Tools

Microsoft Office

Word

Excel

Job description

DEPARTMENT:

Billing

JOB SUMMARY:

Successfully bills patient accounts to the appropriate insurance company for payment, reconciles insurance payment and denials, follows up with insurnace companies as needed, and resolves issues regarding patient accounts.

BENEFITS:(Full-Time Employees*)

• Med/Dent/Vis/Life Ins.
• 401k
• Vacation & PTO

EDUCATION/EXPERIENCE REQUIREMENTS:

• High school diploma or equivalent required.
• Related computer experience, working knowledge of Microsoft Office, Word, Excel
• Minimum two years’ experience in a medical/billing office setting with a strong knowledge of insurance, managed care, Medicare and Medicaid.

JOB RELATIONSHIPS:

• Reports directly to the Director of Billing.

PHYSICAL REQUIREMENTS:

• Prolonged sitting
• Repetitive hand, wrist and shoulder motion
• Lifting up to 25 lbs. occasion-ally
• Extensive reading ,writing, talking

EXAMPLE OF WORK PERFORMED

The omission of specific statements or descriptions does not preclude management from assigning duties not listed herein if such duties are a logical assignment to the position.

ADMINISTRATIVE:

• Responsible for keying patient information into internal information system.
• Analyzes, works, and appeals denials from EOB’s and correspondence daily. Flags accounts appropriately.
• Fields patient phone calls.
• Process refunds to patients & insurance companies
• Post patient, insurance payments, adjustments & denials
• Answers patient questions on plan issues if the Patient Account Specialists are not able to resolve issues.
• Monitors and reports immediately to management on any claim submission problems.
• Participates in special projects and/or assignments as requested by Manager /Director.
• Resolve insurance claim denials

PROFESSIONAL:

• Excellent organizational skills and ability to do detailed multi-tasks.
• Ability to deal effectively and professionally with patients as well as outside vendors.
• Working knowledge of office equipment.

COMMUNICATION:

• Excellent telephone skills.