Insurance and Accounts Receivable Specialist

Job Title

Position Details

Schedule: Full-time

Location: Office/Hybrid (Training will take place in person)

Salary Range: Starting $21.50-$24.73/hour (Where an applicant may fall on the salary range will vary based on a variety of factors, including but not limited to experience & education)

Benefits

• Health Coverage: Medical, Dental & Vision Insurance
• Retirement: 401(K) with Company Match, Profit Sharing
• Time Off: Generous PTO, Holiday Pay, Floating Holiday
• Disability Coverage: Short & Long-Term Disability
• Family Support: Paid Leave and Disability
• Performance Incentive: Discretionary Bonus Based on Company, Department, and Individual Goals

Key Responsibilities

• Ensure all internal and external phone calls (patients, staff, insurance companies, etc.) are handled in a professional manner with a customer service approach.
• Demonstrate an understanding of Electronic Practice Management (EPM) and Electronic Health Records (EHR) within NextGen software as it relates to insurance, demographics, and release of information associated with the daily functions of the Business Office.
• Understand the process from the time patient schedules an appointment, front desk procedure, coding, billing, application of payment, and collections.
• Work closely with patients, insurance companies, and co-workers to address or resolve any concerns while maintaining HIPAA compliance.
• Monitor remittance advice for details including denials and payment inconsistencies.
• Submit replacement claims and appeals to the insurance companies; submit timely follow up requests for status.
• Assists as needed in processing insurance payments so that all accounts are up-to-date and accurate.
• Complete insurance Payer Audits quarterly to ensure payments are accurate per our contracted rates.
• Run service item reports to verify correct payment/information for processing claims.
• Must have knowledge and understanding of CMS billing guidelines for submitting accurate information on claims.
• Knowledge on new insurance plans each year.
• Research insurance portals
• Maintain information from insurance bulletins
• Understand how to set up new insurance and update all pertinent documents in MNGI
• Any and all other duties as assigned.

Essential Functions: In order to perform this job successfully, an individual must be able to perform each essential function satisfactorily and regular attendance is required. The responsibilities listed below are representative of the primary essential functions required; additional duties may be assigned. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience:

• High School Diploma or GED required.
• 1-2 years of experience in a business office/billing setting.

Qualification Requirements: The qualifications listed below are representative of the knowledge, skills, and/or abilities required to perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Knowledge, Skills, and Abilities

Required Knowledge

• Microsoft Office applications
• Insurance payers

Key Skills

• Compassionate patient care
• Active listening
• Problem solve, prioritization, and critical thinking
• Attention to detail
• Organization and time management

Key Abilities

• Multitask
• Communicate effectively verbally and in writing
• Work independently as well as in a team environment
• Type proficiently and accurately

Physical Requirements: The physical requirements described here are representative of the physical demands required 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 may be required to walk, sit, stand, reach overhead, and bend to the floor. The employee is regularly required to talk and hear. The employee is required to use dexterity of hands and fingers to operate a computer keyboard, mouse, and other office equipment. Specific vision abilities required by this job include close vision and ability to adjust focus. The employee may be required to lift and transport items up to 10 pounds occasionally. Employees may be required to travel to other company locations due to staffing and training needs.

Working Environment: The working environment described here is representative of the setting which an employee may encounter on the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this position, the employee works in an office environment. The employee is exposed to a computer monitor daily. The employee may be required to travel by automobile and exposed to changing weather conditions while performing the duties of this position. The employee must be alert to conditions that may impact the safety of patients, employees and visitors while performing the duties of this position. The employee is exposed to a computer monitor daily.

This job description reflects management's assignment of key responsibilities; it does not prescribe or restrict the tasks that may be assigned.

MNGI Digestive Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

It is the policy of MNGI Digestive Health to comply with all federal and state laws concerning the employment of persons with disabilities and to act in accordance with regulations and guidance issued by the Equal Employment Opportunity Commission (EEOC). Furthermore, it is the company policy not to discriminate against qualified individuals with disabilities in regard to application procedures, hiring, advancement, discharge, compensation, training or other terms, conditions and privileges of employment

MNGI's Culture of Caring

We are caring people, caring for people - working with Compassion, Teamwork, and Integrity

• Compassion: being empathetic and considerate of the needs of our patients and caregivers
• Teamwork: Being accountable for actions, supporting each other in meeting the needs of our patients, and respecting the voice/opinions of others assuming good intent.
• Integrity: Demonstrating honesty, trustworthiness, and transparency whenever you interact with patients or each other.

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.