保险专员
Insurance Specialist
基本薪资范围：
$20.43 - $30.65
职位描述：
保险专员是全职、常规岗位，工作时间为周一至周五远程办公。
简介：处理大量未支付或错误支付的理赔，以确保获得报销。
总体描述：执行第三方理赔的医疗计费功能。审查未支付的理赔和简单拒绝的理赔，并适当重新提交理赔。研究并解决轻微的患者投诉。研究并解决信用余额，必要时向相关方退款。
主要职责/责任：要成功完成此工作，个人必须能够满意地完成每项主要职责。以下列出的要求代表了所需的知识、技能和/或能力。可能需要合理调整，以使有残疾的人能够执行主要职能。
- 通过致电查询支付状态，申诉拒绝，并在必要时更正并重新提交未支付的理赔。
- 跟进保险公司，处理对患者提供的任何未支付或错误支付的服务。
- 帮助患者了解保险公司如何处理他们的理赔。
- 当理赔专员不在时，帮助患者处理收集相关问题。
- 对于最高达500美元的不可回收余额进行核销（根据经验而定）。
- 在向保险公司提交理赔前解决理赔修改（缺少理赔信息）。
- 审查所有付款方的适当性并按适当方式处理退款。
- 其他特殊项目和职责，视情况而定。
一般职责/责任：
- 能够在Inland Imaging公司及其客户中保持严格的保密性。
- 诚实、亲切的态度和良好的个人卫生。
- 无酗酒和吸毒。
- 有效的州驾驶执照和保险证明。
- 优秀的沟通和人际交往能力。
- 注重细节；能够多任务处理；有条理且能在快节奏环境中工作。
- 展现出自我驱动的学习能力，并通过专业期刊、批准的研讨会等参与持续教育。
- 通过在行为和外表上展现专业风范，遵守部门标准和人员政策。
- 通过使用良好的团队合作和沟通技巧，帮助识别问题和解决方案，必要时提供协助，遵守公司部门标准和人员政策。
查看英文原文
Base Pay Range:
$20.43 - $30.65Job Description:
The Insurance Specialist is a Full-Time, Regular position working remote Monday-Friday.
Summary: Address large volume of unpaid or incorrectly paid claims to secure reimbursement.
General Description: Performs medical billing functions to third party claims. Reviews unpaid claims and straightforward denials and appropriately rebills the claim. Researches and/or resolves minor patient complaints. Researches and resolves credit balances, refunding appropriate party as needed.
Essential Duties/Responsibilities: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Reviews unpaid claims by calling for payment status, appealing denials and correcting and resubmitting claims when necessary.
- Follows up with insurance companies for any unpaid or incorrect paid services provided to patients.
- Helps patients understand how insurance companies process their billing claim.
- Helps patients with collection questions when Collections Specialist is not available.
- Writes off uncollectible balances with dollar values as high as $500 (dependent on experience).
- Resolves claim edits (missing claim information) prior to the submission of the claim to insurance companies.
- Review appropriateness and process refunds for all payers as appropriate.
- Other special projects and duties as assigned.
General Duties/Responsibilities:
- Ability to maintain strict confidentiality within the Inland Imaging companies and Inland’s customers.
- Honest, pleasant manner and good personal hygiene.
- Free of alcohol and drug abuse.
- Valid state driver’s license and proof of insurance.
- Excellent communication and interpersonal skills.
- Detail oriented; ability to multi-task; organized and able to work in a fast paced environment.
- Demonstrates self-directed learning and participation in continuing education through professional journals, approved seminars, etc.
- Adheres to departmental standards and personnel policies by demonstrating professional demeanor in conduct and appearance.
- Follows company departmental standards and personnel policies by using good teamwork and communication skills to help identify concerns and solutions, assisting where needed to ensure a smooth functioning department.
- Follows all Health and Safety policies and guidelines of Inland Imaging and its partners depending on work location
- Performs other duties as required by displaying team spirit and self-growth, accepting and performing other projects and responsibilities, and requesting other projects and responsibilities.
- Attendance is required for this position.
- Rotates to other shifts and locations as needed.
Supervisory Responsibilities:
· There is little or no supervisory responsibility in this position
Advocacy:
Treats all clients with dignity and respect Provides excellent customer service Conforms to Joint Commission and HIPAA regulations Complies with PHI (Protected Health Information) Demonstrates the Inland Imaging Core Values:
· Show We Care, Do The Right Thing, Maximize Individual Potential, Always Aim Higher
Qualifications:
- Education: High School Diploma/GED required· Two years medical billing course is desired
- Experience: Patient accounts billing experience is desired
- Working knowledge of IDX Flowcast BAR preferred
- CPT and ICD-9 coding experience preferred
- Good customer services skills
- Licensure: N/A
- Certifications: N/A
- Computer Skills: Experience with the following computer applications is highly desired: Microsoft Office products (Outlook, Word, Excel), Kronos; Replicon; Internet, Intranet, IDX (within 30 to 90 days), Meditech, Code Correct, Gateway EDI, Imagecast.
- Background Check:
- Must be able to pass a background check required by RCW 43.43.830-840 to work with children under the age of 16, developmentally disabled persons or vulnerable adults
- In order to comply with provisions set forth in Sections 1128 and 1156 of the Social Security Act, all new employees of Inland Imaging Business Associates will be checked against the LIST OF EXCLUDED INDIVIDUALS provided by the Department of Health & Human Services, Office of the Inspector General (OIG). Employees must not be included on this list.
- Drug Test: Eligible employees must be able to pass a post-offer, pre-employment drug test
Summary: Address large volume of unpaid or incorrectly paid claims to secure reimbursement.
General Description: Performs medical billing functions to third party claims. Reviews unpaid claims and straightforward denials and appropriately rebills the claim. Researches and/or resolves minor patient complaints. Researches and resolves credit balances, refunding appropriate party as needed.
Essential Duties/Responsibilities: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Reviews unpaid claims by calling for payment status, appealing denials and correcting and resubmitting claims when necessary.
- Follows up with insurance companies for any unpaid or incorrect paid services provided to patients.
- Helps patients understand how insurance companies process their billing claim.
- Helps patients with collection questions when Collections Specialist is not available.
- Writes off uncollectible balances with dollar values as high as $500 (dependent on experience).
- Resolves claim edits (missing claim information) prior to the submission of the claim to insurance companies.
- Review appropriateness and process refunds for all payers as appropriate.
- Other special projects and duties as assigned.
General Duties/Responsibilities:
- Ability to maintain strict confidentiality within the Inland Imaging companies and Inland’s customers.
- Honest, pleasant manner and good personal hygiene.
- Free of alcohol and drug abuse.
- Valid state driver’s license and proof of insurance.
- Excellent communication and interpersonal skills.
- Detail oriented; ability to multi-task; organized and able to work in a fast paced environment.
- Demonstrates self-directed learning and participation in continuing education through professional journals, approved seminars, etc.
- Adheres to departmental standards and personnel policies by demonstrating professional demeanor in conduct and appearance.
- Follows company departmental standards and personnel policies by using good teamwork and communication skills to help identify concerns and solutions, assisting where needed to ensure a smooth functioning department.
- Follows all Health and Safety policies and guidelines of Inland Imaging and its partners depending on work location
- Performs other duties as required by displaying team spirit and self-growth, accepting and performing other projects and responsibilities, and requesting other projects and responsibilities.
- Attendance is required for this position.
- Rotates to other shifts and locations as needed.
Supervisory Responsibilities:
· There is little or no supervisory responsibility in this position
Advocacy:
Treats all clients with dignity and respect Provides excellent customer service Conforms to Joint Commission and HIPAA regulations Complies with PHI (Protected Health Information) Demonstrates the Inland Imaging Core Values:
· Show We Care, Do The Right Thing, Maximize Individual Potential, Always Aim Higher
Qualifications:
- Education: High School Diploma/GED required· Two years medical billing course is desired
- Experience: Patient accounts billing experience is desired
- Working knowledge of IDX Flowcast BAR preferred
- CPT and ICD-9 coding experience preferred
- Good customer services skills
- Licensure: N/A
- Certifications: N/A
- Computer Skills: Experience with the following computer applications is highly desired: Microsoft Office products (Outlook, Word, Excel), Kronos; Replicon; Internet, Intranet, IDX (within 30 to 90 days), Meditech, Code Correct, Gateway EDI, Imagecast.
- Background Check:
- Must be able to pass a background check required by RCW 43.43.830-840 to work with children under the age of 16, developmentally disabled persons or vulnerable adults
- In order to comply with provisions set forth in Sections 1128 and 1156 of the Social Security Act, all new employees of Inland Imaging Business Associates will be checked against the LIST OF EXCLUDED INDIVIDUALS provided by the Department of Health & Human Services, Office of the Inspector General (OIG). Employees must not be included on this list.
- Drug Test: Eligible employees must be able to pass a post-offer, pre-employment drug test which includes marijuana.
Nuvodia/Inland is an EEO employer...
Summary: Address large volume of unpaid or incorrectly paid claims to secure reimbursement.
General Description: Performs medical billing functions to third party claims. Reviews unpaid claims and straightforward denials and appropriately rebills the claim. Researches and/or resolves minor patient complaints. Researches and resolves credit balances, refunding appropriate party as needed.
Essential Duties/Responsibilities: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Reviews unpaid claims by calling for payment status, appealing denials and correcting and resubmitting claims when necessary.
- Follows up with insurance companies for any unpaid or incorrect paid services provided to patients.
- Helps patients understand how insurance companies process their billing claim.
- Helps patients with collection questions when Collections Specialist is not available.
- Writes off uncollectible balances with dollar values as high as $500 (dependent on experience).
- Resolves claim edits (missing claim information) prior to the submission of the claim to insurance companies.
- Review appropriateness and process refunds for all payers as appropriate.
- Other special projects and duties as assigned.
General Duties/Responsibilities:
- Ability to maintain strict confidentiality within the Inland Imaging companies and Inland’s customers.
- Honest, pleasant manner and good personal hygiene.
- Free of alcohol and drug abuse.
- Valid state driver’s license and proof of insurance.
- Excellent communication and interpersonal skills.
- Detail oriented; ability to multi-task; organized and able to work in a fast paced environment.
- Demonstrates self-directed learning and participation in continuing education through professional journals, approved seminars, etc.
- Adheres to departmental standards and personnel policies by demonstrating professional demeanor in conduct and appearance.
- Follows company departmental standards and personnel policies by using good teamwork and communication skills to help identify concerns and solutions, assisting where needed to ensure a smooth functioning department.
- Follows all Health and Safety policies and guidelines of Inland Imaging and its partners depending on work location
- Performs other duties as required by displaying team spirit and self-growth, accepting and performing other projects and responsibilities, and requesting other projects and responsibilities.
- Attendance is required for this position.
- Rotates to other shifts and locations as needed.
Supervisory Responsibilities:
· There is little or no supervisory responsibility in this position
Advocacy:
Treats all clients with dignity and respect Provides excellent customer service Conforms to Joint Commission and HIPAA regulations Complies with PHI (Protected Health Information) Demonstrates the Inland Imaging Core Values:
· Show We Care, Do The Right Thing, Maximize Individual Potential, Always Aim Higher
Qualifications:
- Education: High School Diploma/GED required· Two years medical billing course is desired
- Experience: Patient accounts billing experience is desired
- Working knowledge of IDX Flowcast BAR preferred
- CPT and ICD-9 coding experience preferred
- Good customer services skills
- Licensure: N/A
- Certifications: N/A
- Computer Skills: Experience with the following computer applications is highly desired: Microsoft Office products (Outlook, Word, Excel), Kronos; Replicon; Internet, Intranet, IDX (within 30 to 90 days), Meditech, Code Correct, Gateway EDI, Imagecast.
- Background Check:
- Must be able to pass a background check required by RCW 43.43.830-840 to work with children under the age of 16, developmentally disabled persons or vulnerable adults
- In order to comply with provisions set forth in Sections 1128 and 1156 of the Social Security Act, all new employees of Inland Imaging Business Associates will be checked against the LIST OF EXCLUDED INDIVIDUALS provided by the Department of Health & Human Services, Office of the Inspector General (OIG). Employees must not be included on this list.
- Drug Test: Eligible employees must be able to pass a post-offer, pre-employment drug test which includes marijuana.
Nuvodia/Inland is an EEO employer...
Originally posted on Himalayas