Classified Title: Sr. Insurance Specialist Working Title: Role/Level/Range: ATO 40/E/02/OD Starting Salary Range: $15.11-$20.79 Employee group: Full-Time Schedule: Working 40 hours per week; Monday-Friday 8:30-5pm Exempt Status: Non-Exempt Location: 04-MD:School of Medicine Campus Department name: 10002902-SOM Neuro Amb and Ancillary Services Personnel area: School of Medicine
Provides expertise in front-end billing activities for Neurology and Neurosurgery.
Specific Duties & Responsibilities:
Works closely with clinic staff, managers and billing team to create a link between front-end registration and back-end billing functions. Prepares estimates for patient care services and discusses estimates with patients obtaining appropriate written agreements. Serves as insurance expert for the Departments. Provides ongoing training/education and support to medical office coordinators, clinic and billing staff and administrators in all locations (East Baltimore, BV, GSS, and NCR) regarding third party payer documentation and billing requirements. Responds to patient and staff inquiries regarding participation of insurances. Serves as liaison to the International Office to include assistance with estimates. Serves as liaison to Access Services regarding TOS policies and financial policies for the Departments. Works closely with clinic financial counselor at various locations and develops appropriate targeted collection goals for patient balances. Serves as liaison to the Office of Managed Care regarding registration policies, and with Patient Financial Services to monitor financial clearance protocols.
Minimum Qualifications (Mandatory):
High school diploma required. Two years related experience.
Associate's Degree in health-care related or business-related field required or equivalent experience preferred. Three to five years of experience with third party payer requirements. Epic billing experience preferred. Prior coding experience and CPC preferred.
Special knowledge, skills, and abilities:
Requires experience with CPT and ICD-9 codes.
Recent experience with Medicare regulations.
Extensive knowledge of Medicare's regulations regarding teaching physicians and documentation guidelines, and other federal and state laws and regulations concerning clinical documentation, coding and reimbursement.
Knowledge of related clinical and business practices, policies and procedures for billing and collection of professional fee services.
Exchanges non-routine information using tact and persuasion as appropriate requiring excellent verbal and written communication skills.
Demonstrated, excellent communication, analytical and organizational skills are essential.
Demonstrated, excellent customer service.
Demonstrated training experience.
Self-motivated and comfortable working independently and as a team member.
The successful candidate(s) for this position will be subject to a pre-employment background check.
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