What are the responsibilities and job description for the Insurance Collections Coordinator position at GI Alliance?
Job Details
Description
GI Alliance is seeking an experienced Insurance Collections Coordinator I.
Duties of this position include, but are not limited to, the following:
Position purpose
Review and process insurance denials to obtain timely payment for physician services.
Responsibilities/Duties/Functions/Tasks:
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Process insurance denials received by phone dispute, written appeal, or corrected claim
- Review payer rules to understand reason for denial
- Compose correspondence to payer regarding payment disputes and/or appeals
- Interpret progress notes, operative reports, discharge summaries and charge documents to determine services provided
- Communicate with patients to verify correct demographics and coordination of benefits on denied claims; Refile claims as needed
- Refer complex issues to the supervisor for review and or action
- Provide quality service to patients
- Perform other duties as assigned
Qualifications
- Excellent written and verbal communication skills
- Excellent customer service skills are required
- MS Office experience, particularly in MS Word and MS Excel
- Ability to type at least 30 wpm
- Prior appeals experience electronically and ability to obtain claim status
- Ability to multi-task and work in fast-paced environment.
- Detail-oriented
- Basic understanding of healthcare plans
- Be able to read and understand medical benefits
- Bilingual is a plus
- Medical terminology (CPT, ICD 10) knowledge
- Perform other duties as assigned
Education: High school diploma or equivalent
Experience: 2-4 years of prior insurance experience is preferred. Prior appeals experience electronically and ability to obtain claim status needed.
Please Note: All job offers are contingent on the successful completion of pre-employment criminal history check.
NOTE: ALL APPLICATIONS MUST BE COMPLETED IN FULL FOR CONSIDERATION.
No phone calls or agencies, please.
EEO/AA-M/F/disabled/protected veteran
Salary : $28,600 - $36,200
