保险专员（收入周期）肯塔基州和印第安纳州候选人远程机会
Insurance Specialist (Revenue Cycle) Remote opportunity for KY and So IN candida
职位描述：
仅考虑居住在路易斯维尔都会区的候选人。
核心工作职责
填写保险表格中的信息。根据保险公司要求，完成1500 HCFA保险表格，以确保及时付款。掌握医疗保险、医疗补助、军事健康保险和商业保险的开票规范，并监控相关账户以满足规范要求。检查1500表格中的个人信息、CPT代码和费用准确性。监控当前费用表，并在必要时提出建议，确保符合州和联邦法律。协助保险公司查询与保险福利相关的账户情况。展示对个人电脑和相关快捷键的掌握，能够通过电子方式传输索赔单，并在最小干扰的情况下更正索赔单。掌握医生开票系统的操作。通过电话、传真或邮件跟进未支付的保险和患者索赔，知道何时需要采取主动。识别患者账户上的超额支付，并根据内部控制流程启动退款和调整流程。接听电话并及时礼貌地协助老年患者或被 emancipated minors（解放未成年人）的客户。同时及时礼貌地协助医生办公室。IP 掌握PCN的基本知识，在日常工作中需要时能获取相关信息。严格保持患者隐私。完成特殊任务。能够正确使用办公设备。研究逐项的EOB（报销通知），查找错误的付款级别，并直接与保险公司沟通，通过口头和书面方式确保福利和正确报销。监控并维护平衡目的的控制。使用ICD-9和CPT格式监控适当的代码。定期打印、审核并邮寄所有保险索赔单。处理和/或指导所有信件。与提供者和员工保持直接沟通。与应收账款经理沟通问题区域。了解与日常工作的企业合规问题。完成其他指派的任务。
知识和能力
要求高中毕业或同等学历。需要具备相当于每分钟30字的打字能力。需要具备良好的人际沟通技巧，并能与他人良好合作。
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Job Description:
Only candidates who reside in the Louisville Metro area will be considered for this position.
ESSENTIAL JOB FUNCTIONS
Completes information on insurance forms. Completes 1500 HCFA insurance for specifications required by insurance companies to allow for timely payment. Maintains a workable knowledge regarding specifications in billing Medicare, Medicaid, Tricare and Commercial: monitoring those accounts to meet specifications. Monitors 1500 for demographic, CPT and charge accuracy. Monitors current fee schedule and recommends as necessary, in compliance with state and federal law. Assist insurance companies inquiring about accounts relative to insurance benefits deposition. Demonstrates knowledge of the personal computer and applicable keystrokes in the electronic transmission of claims, including the correction of claims with minimal interruption. Maintains a workable knowledge of the physician billing system. Follows up on unpaid claims for both insurance and patients via phone, fax or mail, knowing when to become assertive. Identifies overpayments on patient accounts and initiates refund and adjustment process in accordance with internal controls. Answer phone and assists customers promptly and courteously who age through geriatric or who are emancipated minors. Also assists physician offices promptly and courteously. IP Maintains a working knowledge of PCN, retrieving information as needed for daily work disposition. Maintains strict patient confidentiality. Performs special assignments as required. Able to demonstrate proper usage of office equipment. Researches line item EOB’s for incorrect payment levels and works directly with insurance companies for assurance of benefits and correct reimbursement through oral and written communication. Monitors and maintains control for balancing purposes. Monitors appropriate codes using the ICD-9 and the CPT formats. Prints, reviews and mails all insurance claims as needed on a regular basis. Responds to and/or directs all correspondence. Maintains direct line of communication with the providers and staff. Communicates with the AR Manager regarding problem areas. Maintains knowledge of Corporate Compliance issues pertaining to daily work. Performs other duties as assigned.
KNOWLEDGE AND ABILITIES
High school graduate or equivalent required. Productive typing ability equivalent to 30 w.p.m. required. Considerable skill in interpersonal communications and the ability to work well with others as a team required. Ability to keep accurate financial records and perform mathematical tasks required. Knowledge of medical terminology, ICD-10 and CPT coding required. Knowledge of E/M procedural coding preferred. Computer knowledge required. Knowledge of Windows preferred
EXPERIENCE
Minimum of two years of experience in a medical billing environment working with insurance and patient claims processing required.
PHYSICAL DEMANDS
Position has no unusual demands. Typical office job, requiring lifting of 10 pounds maximum, with occasional lifting and carrying of medical records. Position may require walking or standing, stooping, or bending. Minor discomfort from continual use of video display terminal.
Time Type:
Full timeOriginally posted on Himalayas