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Medical Insurance Specialist/Surgery Scheduling Assistant
Little Rock, ARThe Medical Insurance Claim Specialist is primarily responsible for posting insurance payments, verifying insurance eligibility, assisting the surgery scheduler as needed, and reconciling vendor statements. The position is responsible for verifying insurance eligibility for patients before their appointments. The position will prepare surgery estimates for patients. The position requires a thorough understanding of medical terminology, medical coding and billing experience, medical insurance experience, exceptional customer service and strict attention to detail. The ability to professionally communicate with patients, physicians and co-workers is critical. Employees must be energetic and willing to assist in all areas of clinic success.
List of Responsibilities/Duties
Minimum Knowledge & Skill Requirements
Minimum Education & Background Requirements
List of Responsibilities/Duties
- Daily review of every insurance claim paid on electronic and paper EOB’s
- Maintain scanned copies of all EOB’s and insurance correspondence
- Work with all insurance companies/government agencies regarding any outstanding insurance claim, denial or payment issue. Develop appropriate professional relationships with provider reps and other contacts with all contracted carriers/payers.
- Stay current on changes in insurance/billing within the industry
- Work with other staff to resolve any systemic billing/coding issue the clinic may have
- Verification of patient insurance – 2 days in advance of appointments and as needed
- Obtain verification, referrals, and prioritization for all surgery patients
- Assist with the input of patient insurance information or demographic information as needed
- Answer all questions from patients regarding all insurance filings and/or account balances
- Assist with surgery scheduling as needed
- Cross train as appropriate and as time allows
- Maintain professional demeanor at all times with focus on extraordinary patient care & service.
- Other duties/responsibilities as assigned at the discretion of management, either verbally or in writing.
Minimum Knowledge & Skill Requirements
- Familiarity with basic medical terminology & procedures
- Demonstrated proficient experience with medical coding, billing & insurance procedures
- Working knowledge and demonstration of compliance with patient confidentiality procedures
- Demonstration of attention to detail
- Basic computer experience including electronic scheduling and Microsoft Office
- Energetic personality and professional demeanor at all times
- Empathy and genuine concern for patient care and comfort
- Communication and cooperation with patients, physicians, vendors and fellow employees
- Pride in self and commitment to overall clinic success
Minimum Education & Background Requirements
- High school diploma or equivalent
- Previous experience or training in this or similar position
- Must be able to sit for long periods of time
- Must be able to use a computer
- Must be able to communicate both verbally and in writing