Insurance Billing Professional

Overview

Make an impact in patient care—behind the scenes. Regional Cancer Care Associates (RCCA) is seeking a detail-oriented and motivated Insurance Specialist to join our growing team. In this vital role, you will help ensure patients receive the care they need by supporting accurate billing, timely payments, and exceptional service.

Employment Type: Temporary Part Time

Location: Hackensack, NJ

Compensation: $18.99 - $29.22 per hour

Responsibilities

Monitors delinquent accounts and performs collection duties

Reviews reports, identifies denied claims, researches and resolves issues, may perform a detailed reconciliation of accounts, and resubmits claim to payer

Reviews payment postings for accuracy and to ensure account balances are current

Works with co-workers to resolve payment and billing errors

Monitors and updates delinquent accounts status

Recommends accounts for collection or write-off

Verifies existing patients have necessary referral and/or authorization documentation prior to examination date

Contacts and follows up with patient’s physician for any missing or incomplete documentation

Contacts patients to secure past due balances, verifies patient demographics and insurance providers, updates information in systems, and documents conversations

Answers patient payment, billing, and insurance questions and resolves complaints

May refer patients to Patient Benefits Representative to set up payment plans

Contacts third party payors to resolve payor issues, expedite claim processing, and maximize medical claim reimbursement

Maintains credit balances of patients and payors ensuring timely refunds within government guidelines/regulations

Adheres to confidentiality, state, federal, and HIPPA laws and guidelines with regard to patient records

Performs other duties as requested or assigned

Qualifications

High School diploma or equivalent required

Minimum four (4) years combined medical billing and payment experience required

Demonstrate knowledge of medical coding, preferably oncology coding

Demonstrate knowledge of state, federal, and third party claims processing required

Demonstrate knowledge of state & federal collections guidelines

Must successfully complete required e-learning courses within 90 days of occupying position

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