Billing and Insurance Specialist
HFMA Texas Gulf Coast Chapter
full-time
Posted on:
Location Type: Remote
Location: Florida • United States
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Salary
💰 $19 per hour
About the role
- Review details of an account to determine if insurance was previously filed and determine if claims filing is necessary.
- Clear documentation of account findings and ensure the account is pushed through the designed workflow.
- Communication with clients regarding claims updates on payments, adjustments, or denials.
- Ability to work in client systems to confirm accounts are being handled accordingly by our providers.
- Eligibility review through online portals.
- Audit non-insurance desks for accounts that should have been reviewed by the insurance team.
- Knowledge of carrier-specific timely filing for the claims process and eligibility requirements.
- Ability to communicate with insurance carriers and identify claim issues.
- Ability to communicate with patients on their involvement to ensure claims can be paid.
- Daily accounts worked requirements min. 125
Requirements
- 3 or more years’ experience handling medical claims follow-up and eligibility
- Microsoft Excel and general computer/office skills
- Motivated, efficient, and logical
- Excellent time management
- Critical thinking skills
- Ability to type 60 WPM or more
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
medical claims follow-upeligibility reviewclaims filingdocumentationaudittimely filingcritical thinkingtyping 60 WPM
Soft Skills
communicationtime managementmotivationefficiencylogical thinking