As a A/R SUPPORT INSURANCE SPECIALIST, you will utilize your knowledge of the claims process by analyzing and applying payer contract terms and conditions to ensure that all elements of the account are accurate. Must have working knowledge of insurance follow up process. Follow up with payers and other third parties for ensuring timely claims submission and resolution of accounts including secondary billing, appeals process, and patient liability. 

RESPONSIBILITIES:

• Conduct detailed review at the account level to determine accuracy of insurance processing. Review EOB’s, plan coverage, previous billing history and call insurance carriers when needed.
• Validates insurance via phone and internet to confirm eligibility for specific charges on specific dates of service.
• Must have basic knowledge of healthcare claims processing and be able to review client billing system to confirm chargers were not previously billed or identify edits that need to be made prior to billing.
• Work with insurance carriers and patients to resolve insurance related issues such as coordination of benefits, plan coverage limitations and line item denials.
• Works assigned inventory, work queues and reports. Consistently meets internal and external deliverables with minimal follow up from management.
• Ability to analyze and resolve problems, and identify payer reimbursement discrepancies.
• Identifies/locates patient, insurance carrier or other third party that is liable for payment of account and initiates contact (via telephone, internet, etc.) to determine reason for non-payment, identify insurance options, and establish repayment arrangements.
• 1 to 2 years of experience with patient accounts receivable and/or insurance claims processing
• Strong knowledge of Insurance Follow-up including but not limited to: Billing, Insurance Processes, Plan Types, Revenue and Procedure codes, Etc.
• One day a week you are responsible for in-bound calls from patients, hospitals, and insurance carriers to resolve patient accounts and collect payment.

 QUALIFICATIONS:

• 1-2 years of experience in a healthcare business office environment
• Excellent verbal communication and negotiation skills with an emphasis on customer service
• Excellent computer and multi-tasking skills
• Ability to identify an issue, examine options, and provide an effective solution
• High school diploma or equivalent

 OUR TOTAL COMPENSATION PACKAGE INCLUDES:

• Competitive base salary along with monthly performance based incentives
• Comprehensive medical, dental, life and disability benefits
• Tuition Assistance Program
• 401K Retirement Savings Plan
• Generous paid vacation time allowance

 HBCS is a leader in healthcare receivables management, providing electronic billing, insurance follow-up and self-pay recovery services to hospitals and healthcare providers throughout the United States.  Our success story is a product of our high-quality staff, and their continuous commitment to demonstrating exceptional customer service while utilizing state-of-the-art technology systems.  With operating locations in Delaware and Massachusetts, our skilled and dedicated team delivers quality, value-added services to ensure that the goodwill established between our client hospitals and their patients remains steadfast.

 To take the first step towards a career with HBCS please apply directly on our website at www.hbcsrevcycle.com.

HBCS IS AN EQUAL OPPORTUNITY EMPLOYER

Required Skills Required Experience