Insurance Specialist - Birmingham, AL

Advanced Dermatology and Cosmetic Surgery; Birmingham (AL); On-site; USD 34,000 - 52,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

401k

Job summary

Advanced Dermatology and Cosmetic Surgery is seeking a Billing Clerk to accurately bill patient accounts to the appropriate insurance payer, reconcile payments and denials, and follow up on outstanding claims.

The role reports to the Director of Billing, requires a high school diploma, two years in medical billing, strong knowledge of Medicare/Medicaid, and proficiency with Microsoft Office.

Qualifications

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

Responsibilities

• Key patient information into internal information system.
• Analyze, work, and appeal denials from EOBs and correspondence daily.
• 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 to management on any claim submission problems.
• Participates in special projects and/or assignments as requested by Manager/Director.
• Resolve insurance claim denials

Skills

Medical billing

Insurance knowledge

Microsoft Excel

Customer service

Data entry

Education

High school diploma or equivalent

Tools

Microsoft Office

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.

HAZARD EXPOSURE CLASSIFICATION:

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

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.