Insurance Follow-Up/Billing Specialist

Insurance Follow-up And Billing Specialist

Clearview Cancer Institute is north Alabama's leading cancer treatment facility. For over 30 years Clearview Cancer Institute has provided leading-edge treatment and compassionate care to those diagnosed with cancer or blood disorders. Clearview offers every service and amenity needed in an outpatient setting and our dedication to research and involvement in Phase I-IV clinical trials gives our patients the opportunity to receive potentially life-saving treatment options.

Job Purpose

The purpose of the Insurance Follow-up and Billing Specialist is to ensure that issues related to payment are handled in an efficient and effective manner.

Essential Job Function

• Responsible for Insurance Payment Posting and Follow-Up
• Processing billing office reports.
• Work with payers to resolve issues and facilitate prompt payment of claims.
• Resolve insurance processing errors and denials.
• Identifying and resolving any and all outstanding issues preventing claim resolution.
• Working numerous systems in submitting and correcting claims.

Other duties assigned.

Qualifications

• Must have excellent interpersonal and customer service skills.
• Must be detail-oriented.
• Must have strong problem-solving and research skills.
• Must have excellent math, verbal, and communication skills.
• Must be proficient in various computer software.
• Must have thorough knowledge and understanding of patient billing, claims submission, and payer specific requirements.
• Knowledge of payers including Medicare, Medicaid, Blue Cross, and other commerical health insurance carriers.

Education/Experience

• Must have a high school diploma or equivalent.
• Must have at least 3 years collection experience in a medical practice or facility with a proven track record of success in billing, reimbursement, and follow-up.
• Comprehensive knowledge of insurance plans, member eligibility, and medical billing.
• Must have strong background in Medicare and Medicaid claims processing and reimbursement.
• Must have understanding of CPT, ICD-10, UB, HCFA, and 835 terminologies.

Working conditions

This position works in the business office of a busy outpatient oncology/hematology clinic. This position does not have direct patient contact.

Physical requirements

This position requires that the employee be able to work at a desk and on a computer for up to eight hours a day. Employee must be able to do work via telephone for several hours a day as well.

Direct reports

This position is not a supervisory position.