Insurance/Billing Associate - Eagle Gastroenterology

Job Description

Job Description

Join Our Team as a Insurance / Billing Associate!

Are you compassionate, patient-focused, and looking for a rewarding career opportunity with a company that offers a competitive salary and an exceptional benefits package? Eagle Physicians & Associates is seeking a dynamic, professional, and self-motivated Insurance /Billing Associate to join our team at Eagle Gastroenterology team.

Schedule

• Monday - Friday 
• 8:00AM - 5:00 PM 
• This is an ON SITE position.

Qualifications

• Minimum of 2 years prior experience in a medical office.
• One year of medical insurance and billing experience.
• Strong customer service and interpersonal skills.
• Excellent verbal and written communication skills.
• Strong organizational skills and attention to detail.
• Ability to multitask and work effectively in a fast-paced environment.
• Proficiency with electronic medical records (EMR) systems and standard office software preferred.

Why Eagle?

Our employees genuinely enjoy working at Eagle. For three consecutive years, Eagle team members have rated the organization highly in our annual Employee Engagement Surveys. In our most recent survey, 92.8% of employees shared that they see themselves continuing their career at Eagle and would recommend Eagle as a great place to work.

Join Us and Thrive!

Support staff hired at a 0.50 FTE or greater on or after April 1, 2024, are eligible for our structured retention bonus program:

• $750 at 6 months
• $750 at 12 months
• $1,000 at 18 months
• $1,000 at 24 months

Paid Maternity/Paternity Leave

After one year of employment and 1,250 hours worked, Eagle provides up to two weeks of paid maternity/paternity leave for the birth or adoption of a child. Leave is prorated based on FTE status.

Influenza Vaccine Requirement

As a condition of employment, an influenza vaccine is required. Please contact Eagle HR with any questions regarding this policy.

Eagle Physicians & Associates is proud to be an Equal Opportunity Employer.

Key Responsibilities

• Makes appropriate patient referrals at the direction of the provider and works closely with providers to ensure referrals meet the medical and insurance needs of the patient.
• Completes referral forms and coordinates with providers to ensure all pertinent medical records and documentation are forwarded to the referred specialty.
• Verifies patient insurance eligibility and coverage on a daily basis.
• Obtains insurance coverage, pre-certifications, and prior authorizations for procedures and physician-ordered tests, including Capsule Endoscopy, MRI, CT, ultrasound, and other services as required.
• Enters, updates, and maintains accurate patient demographic and insurance information in the billing system.
• Prepares and emails patient procedure instructions and prepares and mails patient cost estimate letters approximately two weeks prior to the scheduled procedure date.
• Answers patient calls and provides assistance regarding billing, coding, cost estimates, insurance coverage, and related questions.
• Serves as a resource for staff, providers, and patients regarding insurance, billing, referrals, authorizations, and related processes.
• Reviews hospital charges for completion and accuracy and submits charges to EBS in a timely manner.
• Works directly with EBS staff to clarify billing issues and assist with resolving patient and billing-related questions.
• Cross-trains and assists with front office administrative functions as needed, including patient check-in and check-out, scheduling, answering phones, and providing general clerical support.
• Maintains accurate, timely, legible, and confidential documentation using appropriate grammar, spelling, and sentence structure.
• Follows HIPAA guidelines for patient confidentiality and maintains the security of Protected Health Information (PHI), employee information, and business information.
• Does not exhibit, divulge, copy, remove, or otherwise disclose the contents of any patient or business record except as necessary to fulfill assigned job responsibilities.
• Attends required staff meetings and participates in committees and organizational activities as requested.
• Participates in professional development activities and maintains professional affiliations as appropriate.
• Shows respect, courtesy, professionalism, and advocacy in all interactions with patients, coworkers, providers, and visitors.
• Displays a positive attitude and team-oriented spirit, with a willingness to assist where and whenever needed.
• Upholds and exemplifies Eagle’s Diversity, Equity, and Inclusion values through daily actions, activities, and behaviors.
• Upholds and exemplifies Eagle’s Vision, Mission, and Core Values of Integrity, Compassion, Trust, Professionalism, and Respect.
• Performs other duties and responsibilities as assigned.