Medical Receptionist / Insurance Verification Brick

Medical Receptionist / Insurance Verification

Full Time • Brick
Benefits:
  • 401(k)
  • Health insurance
  • Paid time off
  • Vision insurance
Who we are: Coastal Home Rehabilitation is a physical, occupational and speech therapy provider whose principal idea focuses on providing services to a patient in their own home or facility based living environment.
We are looking for a highly motivated and proactive medical billerJob Description: The primary responsibility of this position is to obtain accurate reimbursement for therapy claims utilizing medical classification codes to assign procedure and diagnosis codes for insurance billing.

Responsibilities and Duties
  • Confirm patient benefits and insurance
  • Checking eligibility and benefits verification for treatments
  • Review referrals and authorizations
  • Reviewing patient bills for accuracy and completeness, and obtaining any missing information.
  • Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.
  • Following up on unpaid claims within standard billing cycle timeframe.
  • Calling insurance companies regarding any discrepancy in payments if necessary
  • Identifying and billing secondary or tertiary insurances.
  • Reviewing accounts for insurance of patient follow-up.
  • Researching and appealing denied claims.
  • Answering all patient or insurance telephone inquiries pertaining to assigned accounts.
  • Ensure patient information is accurate and complete
  • Request any missing patient information
  • Promote a focus on continuous improvement for all medical billing procedures
  • Accurately entering patients into EMR system, scanning and verification of documents in EMR
  • Ability to supplement answering phones in professional manner
  • Accurate completion of Intake Documents
  • Scheduling patient appointments
  •  Participate in special projects and perform other duties as required.
Proficiency in the following areas is preferred:
  • Knowledge of Webpt
  • Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
  • Competent use of computer systems and software
  • Familiarity with CPT and ICD-10 Coding.
  • Effective communication abilities for phone contacts with insurance payers to resolve issues.
  • Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds.
  • Being able to triage priorities, delegate tasks if needed, and handle conflict in a reasonable fashion.
  • Problem-solving skills to research and resolve discrepancies, denials, appeals, collections.
  • A calm manner and patience working with either patients or insurers during this process.
  • Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
  • Ability to multitask.

 




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