EMS Management & Consultants, Inc.

Patient Insurance Specialist

EMS Management & Consultants, Inc.

full-time

Posted on:

Location Type: Remote

Location: United States

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Salary

💰 $15 - $17 per hour

Job Level

Junior

About the role

  • Maximize client reimbursement through accurate and timely entry and processing of patient demographic information in accordance with client, company, and compliance standards.
  • Using various defined resources along with sound judgment and critical thinking, enter direct data from EPIC and/or other hospital billing software into EMS|MC billing software ensuring adherence to client, company, and compliance standards.
  • Check various insurance websites to discover and verify patient insurance maximizing reimbursement.
  • Updating patient insurance and/or demographic information accurately from various databases.
  • Ensure strict compliance with company standards regarding patient matching when adding patient information to avoid inaccurate updates.
  • Provide proactive and routine feedback to Claims Management Supervisor regarding any deficiencies, variances, and/or other issues identified during the billing process, including variances with incoming inventory.
  • Process all assigned pending and rejected claims in a timely and accurate manner.
  • Exhibit strong customer service skills to build and maintain internal relationships in order to best address client needs.
  • Meet or exceed contracted client service level agreements (SLAs) concerning turn-around-times and compliance standards on a consistent basis.
  • Conduct all job tasks, duties, and interactions with professionalism, respect, a positive attitude, and in accordance with company compliance policies and applicable government regulations.
  • Consistently support and demonstrate the company mission and values.
  • Perform other necessary tasks as assigned.

Requirements

  • High School Diploma
  • At least one-year experience in health care office, production, or clinical environment or comparable classroom experience
  • Strong comfort level learning new computer programs and software at a rapid pace
  • Self-motivated, goal oriented, and takes ownership of work
  • Ability to learn, understand and work within specific client requirements
  • Ability to learn, understand and apply applicable HIPAA, Medicare, Medicaid, insurance, and liability regulations/guidelines
  • Willing and able to adapt to changes in work environment, procedures, priorities, and job duties
  • Willing and able to receive positive and negative feedback and apply it to work environment in an appropriate and effective manner
  • Strong internal customer service skills
  • Good verbal and written communication skills
  • Positive interpersonal skills with the ability to function well within a cross-functional team setting and independently
  • Detail oriented with strong desire for accuracy
  • Must be able to manage time and maintain focus, concentration, and productivity while performing repetitive and sometimes mundane work
  • Strong, accurate data entry skills
Benefits
  • Employees must be able to perform the essential functions of this position.
  • Reasonable accommodations will be provided to qualified individuals with disabilities as needed to support their ability to perform these essential functions.
  • Individuals in this role are eligible to participate in a discretionary bonus plan and a comprehensive benefit package, including a retirement plan, health coverage, and paid time off.
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
data entrybilling softwareEPICEMS|MCinsurance verificationclaims processingcompliance standardsHIPAA regulationsMedicare guidelinesMedicaid guidelines
Soft Skills
customer servicecritical thinkingself-motivatedgoal orientedadaptabilitytime managementattention to detailcommunication skillsinterpersonal skillsteamwork
Certifications
High School Diploma