Billing & Insurance Specialist
Normann Staffing Services - Ramsey, NJ
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Job Summary:Responsible for ensuring claims are accurately submitted, resolving discrepancies and following up with insurance companies and patients to ensure timely payment of medical claims.Duties/Responsibilities:Navigate claim submission and payee websites/portals to resolve filing issues and research status of payments.Speak with insurance companies to research denials and/or improper reimbursement. Apply payer requirements for submission of reconsiderations, appeals, medical records, etc. Communicate with patients and clients to facilitate claim adjudication and payment.Maintain knowledge of coverage policies and medical necessity requirements of insurance carriers. Research and resolve billing issues raised by patients.Prepare, review and send patient statements.Process patient credit card payments. Perform patient collection actions via email, mail, and phone in adherence to legal and regulatory requirements.Process financial assistance applications.Establish installment agreements within the billing system.Troubleshoot and resolve issues within the billing applications.Monitor and report status of delinquent accounts.Work closely with co-workers and management to analyze data and identify issues or trends.Prepare cases to be sent for outside collections efforts.Conduct business in a responsible manner that complies with all state and federal regulations applicable to laboratory services and medical billing. Other duties as assigned.Required Skills/Abilities: Knowledge of payer applications (e.g., CMS and commercial payers)Knowledge of CMS and commercial payer coverage policiesKnowledge of Microsoft Office SuiteExcellent written and verbal communication skills.Excellent organizational and time management skills.Education and Experience:High school diploma or equivalent required.3 years or more in a similar role required Laboratory experience preferredLaboratory billing experience preferred; knowledge of TELCOR a plusTELCOR experience preferred
Created: 2024-07-07