Job Description
Description
We are looking for a Patient Accounts Insurance Specialist to join our team on a contract basis. In this role, you will play a vital part in ensuring the accurate billing and processing of insurance claims while adhering to established guidelines and procedures. This position requires strong attention to detail, excellent communication skills, and a thorough understanding of medical billing and coding practices. This role is part time, approximately 10 hours a week.
Responsibilities:
- Prepare and submit insurance claims using appropriate codes and ensure compliance with billing guidelines.
- Review new patient admissions to accurately bill based on facility, state, funding plan, and contract requirements.
- Maintain detailed knowledge of coding systems such as ICD-10 and claim field requirements for both facility and detail-oriented services.
- Utilize electronic claim submission systems and clearinghouses efficiently.
- Interpret and adhere to billing policies and procedures specific to the organization's facilities and states.
- Communicate effectively with patients, guarantors, and insurance companies to clarify billing processes and resolve concerns.
- Coordinate conference calls to address complex insurance issues involving patients and insurance representatives.
- Perform regular account reviews and follow up on outstanding claims in accordance with established procedures.
- Ensure claims are processed accurately by researching insurance payments and performing detailed reviews.
- Work collaboratively with managed care staff for precertification needs and appeals processes.
Requirements - Proven experience in patient registration, scheduling, and medical billing processes.
- Strong knowledge of insurance claim submission and coding guidelines, including ICD-10.
- Ability to work with a variety of insurance companies and navigate diverse billing criteria.
- Skilled in handling patient inquiries and resolving complaints with professionalism.
- Proficiency in electronic claim submission systems and clearinghouse tools.
- Familiarity with contractual adjustments and insurance payment reviews.
- Excellent organizational skills and attention to detail.
- Effective communication skills to interact with patients, insurance representatives, and internal teams.
Robert Half is the world's first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.
Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more.
All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.
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