Job description
Position Summary
Pinehurst Medical Clinic is seeking an Insurance Specialist to join our central billing office, in Pinehurst, NC This position plays a key role in patient care working with our providers in providing the best in patient care by providing a personal and unified effort to obtain payment of outstanding insurance claims. While assisting patients with questions they might have regarding their accounts. This is a full-time day shift position and does not require weekend or holiday hours.
Essential Functions and Responsibilities
- Responsible for the analysis of reports and alerting management of any problems in a timely manner
- Responsible for telephone and walk-in inquiries regarding billing, and insurance-related matters.
- Assists with billing/coding and error resolutions, with direct participation with management and other staff members to resolve accounts.
- Works assigned accounts receivable reports claim denials and rejections taking appropriate action as needed to secure payment.
- Handles changes in patient information relating to registration information including insurance/guarantor information.
- Responsible for documenting all transactions, telephone contacts, etc. in the individual PMC patient’s account.
- Performs other duties as assigned.
Qualifications
Education (Including Licenses and Certifications):
- High school diploma or general education degree (GED); or one-year related experience and/or training; or equivalent combination of education and experience.
Experience:
- One to two years of experience in a medical office setting is preferred.
- CPT and ICD-10 coding experience highly desirable.
Monday - Friday (no weekend or holidays)
40
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