Billing-Insurance Support

Job Description

Job Description

SNAP DiagnosticsJOB DESCRIPTION

JOB TITLE: Billing/Insurance Support

POSITION SPECIFIC: Billing/Insurance

DEPARTMENT:  Billing/Insurance                                                        EXEMPT (Y/N): N

EMPLOYEE NAME:                                                                              SHIFT: Day

SUPERVISOR:                                                                                      LOCATION: Vernon Hills, IL

SUMMARY:   The Billing/Insurance Support representative contributes to the efficient day- to-day operation of the business including duties to support the work of management and other staff.  The Billing/Insurance Support representative is required to perform a range of duties including but not limited to the items listed below.   Basic reading, writing and arithmetic skills normally acquired through a high school diploma or equivalent required.   Knowledge of Microsoft Office and telephone protocol required.  Duties require professional verbal and written communications.

ESSENTIAL DUTIES AND RESPONSIBILITIES  include the following.  Other duties may be assigned.

1. Stay up-to-date and follow all Quality System procedures related to this job (WI-074 & WI-099), which can affect the quality of products or services provided to our customers.

1. Posting payments, deductibles and adjustments to patients accounts accurately and efficiently   

1. Billing patients correctly based on their out of pocket quotes, insurance allowance, and with approval from management when needed.
2. Submitting original, corrected, and secondary claims to insurance companies in a timely manner
3. Calling insurance companies to justify claim denials, and sending appeals if necessary
4. Receiving phone calls from patients, insurance companies, sales representatives, and doctors’ offices in regard to billing, payments, and concerns
5. Staying current with Insurance company’s guidelines and policies, as well as up to date CPT and diagnostic coding
6. Scanning all relevant EOBS and letters to patient accounts for easy retrieval and verification of proper account handling
7. Back up for other billing/insurance staff when absent (if applicable, with instruction/training)

QUALIFICATION REQUIREMENTS: 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.

Education and/or Experience  

Associate's degree (A.A.) or equivalent from a two-year college or technical school; or six months to one year related experience and/or training; or equivalent combination of education and experience.

Language Skills

Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals.  

Reasoning Ability

Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram form.  

Certificates, Licenses, Registrations (helpful but not mandatory)

ISO Auditor, Notary

Other Skills and Abilities

Strong multi-tasking skills with the ability to complete assigned tasks in the required time frame necessary.

PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.   Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to sit and talk or listen.  The employee is regularly required to work at a keyboard and computer.  Specific vision abilities required by this job include close vision and the ability to adjust focus.

The employee must regularly lift and/or move up to 10 pounds, frequently lift and/or move up to 25 pounds and occasionally lift and/or move up to 50 pounds.

Travel Required:   None

WORK ENVIRONMENT: The work environment includes a general office environment with relatively low noise, or home work environment