Eurofins

Billing Specialist

Eurofins

full-time

Posted on:

Location Type: Remote

Location: Kansas • United States

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Job Level

Junior

About the role

  • Verify patients’ insurance and benefits.
  • Communicate patients’ responsibilities.
  • Notify management of identified trends as needed, and at month-end, arrange payment plans.
  • Enroll patients in Financial Assistance Programs.
  • Submit prior authorization requests to payor websites, fax, or phone.
  • Obtain medical records or LMNs that the insurance company requests for prior authorization and billing.
  • Submit electronic and paper claims to insurance carriers.
  • If the patient declines, complete a cancellation form or offer payment options.
  • Communicate with clients.
  • Offer prompt pay discounts, arrange payment plans, and provide financial assistance as needed.
  • Meet daily and monthly departmental productivity goals set by management to achieve the company's financial goals.
  • Ensure completion and recording of documentation.
  • Be responsible for protecting, securing, and properly handling all PHI (Protected Health Information).
  • Research, review, and communicate with insurance carriers regarding open accounts receivable.
  • Prepare and submit appeals.
  • Timely management of unpaid claims.
  • Coordinate the release of medical information to insurance companies, lawyers, state, and federal agencies.
  • Meet all audit requests within the allotted time frame.
  • Correct claim errors and coordinate, monitor, and manage the follow-up on unpaid claims in a timely manner.
  • Collaborate with healthcare providers to resolve pre-certification issues and ensure the timely delivery of medical services.
  • Responsible for the timely accurate submission of all prior authorizations for service to the responsible payer.
  • Communicate with insurance companies and healthcare providers and review medical records and documentation to ensure compliance with pre-certification requirements.
  • Ensure that all payers needing prior authorization are set up correctly within the software system.
  • Communicate with private practice, facility, and nursing home clients regarding medical record needs.
  • Handle difficult situations involving patients, physicians, or others in a professional manner.
  • Perform other duties as assigned and have flexibility to be cross trained to meet departmental needs.
  • Maintain accurate and up-to-date records of pre-certification approvals and denials with confidence.
  • Attend meetings for updates, communications, and learning opportunities.
  • Maintain a good working relationship within the department, with clients, insurance carriers, and other departments.
  • Review the accuracy and completeness of the information requested and ensure that all supporting documents are present.
  • Performs pre-service authorization reviews to obtain payment authorization for outpatient services.
  • Succinctly abstracts fact-based clinical information to support pre-authorization utilizing applicable nationally recognized and payer-specific criteria; communicates the clinical information in a timely manner supporting the medical necessity of an ordered test/treatment/procedure/surgery as applicable to the patient’s health plan and documents the outcome of the task.

Requirements

  • Excellent customer service skills, with a focus on professionalism
  • Ability to solve problems, prioritize tasks, and multitask effectively
  • Goal-oriented mindset with excellent time management and organizational skills
  • Strong interpersonal communication skills, including the ability to interact efficiently with individuals at all levels in an organization
  • Strong level of empathy & patience
  • Excellent verbal and written communication skills
  • Attention to detail, accuracy, and time management
  • Proficiency in PC-based software such as Microsoft Excel, Teams, iPhone, Adobe, and associated applications
  • A fundamental understanding of medical billing concepts
  • Knowledge of Medicare, Medicaid, and commercial insurance
  • Familiarity with HIPAA (Health Insurance Portability and Accountability) privacy requirements
  • Knowledge of Availity and eligibility portals and medical terminology
  • Follow up on missing or incorrect information so patients receive the right reimbursement.
  • Document account activity using correct medical and billing codes.
  • Understanding of payer medical policy guidelines while utilizing these guidelines to manage authorizations effectively
  • Be investigative to find necessary information, if needed
  • Ability to handle multiple priorities and meet deadlines
  • Ability to work independently and as part of a team in a fast-paced environment
  • Demonstration of self-motivation and ownership of assigned work
  • A high level of professionalism and confidentiality in handling sensitive information is imperative.
  • Excellent verbal & written communication skills.
Benefits
  • Excellent full time benefits including comprehensive medical coverage
  • Dental and vision options
  • Life and disability insurance
  • 401(k) with company match
  • Paid vacation and holidays
Applicant Tracking System Keywords

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

Hard Skills & Tools
medical billingprior authorizationclaims submissionmedical terminologybilling codespre-certificationaccount receivable managementdocumentation accuracypayment plansfinancial assistance programs
Soft Skills
customer serviceproblem-solvingtime managementorganizational skillsinterpersonal communicationempathypatienceattention to detailself-motivationprofessionalism