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SalaryPOSITION SUMMARY
Our Billing Specialists submit and advance claims through the insurance billing process. They address insurance billing issues and respond to various requests from insurance companies. They also act as a patient advocate by identifying the path needed to obtain the maximum reimbursement under the patient’s insurance plan.
JOB RESPONSIBILITIES
- Must be knowledgeable on every aspect of dealing with BWC & DOL, including FROI, C-9, Med-Co 14.
- Understand coding, specifically diagnosis and CPT.
- Must be able to stand as liaison between Patient, Provider, Attorney and Case Managers.
- Review and submit claims based on payer guidelines and within the filing time limits.
- Obtain updated or missing claim information from physicians and/or patients.
- Complete assigned claim and follow-up worklist tasks.
- Provide insurance companies with the test descriptions, results, medical records, tax information, and licenses when requested.
- Call insurance companies to determine the status of claims submitted.
- Comply with all Billing and Follow-up Worklist process, system, and documentation.
- Meet claim filing and follow-up deadlines by completing assigned worklist tasks in a timely manner and/or reporting to management when assistance is needed to complete the tasks.
- Report all changes to insurance company claim processing requirements to the Billing Manager.
- Participate in team meetings by sharing the details of cases worked.
QUALIFICATIONS
- High School Diploma
- Minimum 2 years health insurance/WC billing (5 years preferred)
Job Type: Full-time
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
Ability to Relocate:
- Youngstown, OH 44512: Relocate before starting work (Required)
Work Location: In person
