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Insurance Coordinator

Insurance Coordinator

Job ID 
2017-1738
Location 
US-CO-Denver
Function 
Revenue Cycle Management
Employment Status 
Full-Time

More information about this job

Overview

 

USAP is the nation’s leading provider of high-quality anesthesia and chronic pain management. First and foremost, we’re people. We’re a tight-knit team of passionate, compassionate, caring people of all genders, ages, colors, cultures and creeds. We are a leading-edge, data-driven approach to continuous improvement with a full range of clinical and business infrastructure support services.

 

This position assists in billing administrative duties associated with the patient and insurance billing process and performs collection activities associated with assigned insurance groups.

 

Responsibilities

  • Adheres to all established billing and collection policies and procedures.
  • Reviews patient demographic information for accuracy and completeness and obtains information when incomplete. Assigns an appropriate system insurance code.
  • Acts as a back-up for entry of patient demographic information when needed.
  • Identifies payments or adjustments that require review by insurance companies. Takes necessary steps (e.g. sends letters, initiates phone calls, or obtains medical records) to prepare a review to send to the insurance company. Follows the account through resolution.
  • Identifies accounts that have been overpaid and writes up refund requests to patients and/or insurance as appropriate.
  • Maintains basic contract information to include copy of contract, provider manual (if applicable), claim filing instructions, and insurance company website information.
  • Identifies and bills secondary insurances; provides claim forms to Anesthesia Documentation Specialist for mailing purposes.
  • Reviews accounts daily and makes phone calls to assigned insurance groups for insurance follow-up to determine claim adjudication.
  • Logs into billing phone queues to assist in taking patient and insurance telephone inquiries.
  • Assists with the end month process including review of physician production for inaccuracies.

 

Qualifications

  • Associate's degree (A. A. or A.S.) from two- or four-year college or university; or two years related experience and/or training; or equivalent combination of education and experience
  • Knowledge of medical practices, terminology and reimbursement policies
  • General ICD-9/ICD-10 and CPT coding knowledge.
  • Knowledge of basic bookkeeping and accounting functions to maintain records and logs
  • Skill in exercising initiative, solving problems, and making decisions
  • Ability to communicate professionally with patients, physician office staff       and others
  • Ability to establish and maintain effective working relationships with others
  • Ability to work independently with minimum supervision
  • To perform this job successfully, an individual should have knowledge of MS Word processing software; MS Excel spreadsheet software; MS Outlook electronic mail software and GE Centricity Group Management billing software.
  • Ability to read and interpret documents such as safety rules, operating instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization.
  • Ability to calculate figures and amounts such as discounts, interest, percentages
  • Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
  • Equipment includes, but is not limited to the following: computers, copy machines, fax machines, printers, staplers, calculators, and telephones.

 

 

 

US Anesthesia Partners, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics.

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