Insurance Billing/Collection Assistant III (Remote) - Surgery

📋 Description

• • Performs advanced insurance billing and collection follow-up to ensure timely and accurate payment of physician charges across various financial classifications.
• • Reviews patient accounts to verify the accuracy of insurance information, eligibility, invoice resolution, remittances, and requests for additional documentation.
• • Utilizes Epic EHR, payer websites, and internal system tools to submit claims, check claim status, request attachments, and verify eligibility and authorization/referral details.
• • Makes direct collection calls to insurance companies and patients to resolve outstanding balances and expedite claim payments.
• • Contacts insurance companies regarding payment posting discrepancies and collection agencies for payment reporting and reconciliation.
• • Supports the customer service unit by answering billing and collection inquiries from patients and providers.
• • Adheres to Quality Assurance (QA) standards and one-touch resolution best practices for daily invoice processing.
• • Interacts with management and team members to escalate and resolve billing issues and improve workflow efficiency.
• • May serve as Team Lead, providing guidance and oversight to junior staff.
• • Assists in training new employees on billing procedures, system usage, and department protocols.
• • Participates in special projects as assigned to enhance billing accuracy, collection rates, or operational efficiency.
• • Performs other duties as assigned by supervisor or manager to support departmental goals and compliance standards.
• • Maintains strict confidentiality of patient data in accordance with HIPAA regulations.
• • Uses Microsoft Excel and Microsoft Word to document, track, and report billing metrics and correspondence.
• • Applies knowledge of medical billing and coding, ICD-10 procedure coding, and medical terminology to resolve complex billing issues.
• • Ensures all billing activities comply with health insurance portability and accountability standards and organizational policies.
• • Works in a remote office environment with standard office equipment, requiring prolonged computer use and repetitive hand/finger movements for data entry and communication.