Full-Time
Insurance Reviewer 2
Springfield Clinic
Compensation Overview
$18.22 - $26.42/hr
Springfield, IL, USA
In Person
Category
 Clerical & Data Entry (1) |
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Requirements
- High School graduate or GED required
- Previous experience in a medical billing office required
- Computer, typing and calculator skills required
- Must be able to work individually or on a team
- PHI/Privacy Level HIPAA1; HIPAA compliance and privacy requirements
Responsibilities
- Handle all phone calls and messages received specific to designated insurance area
- Update registration screens when requested by patients or as necessary
- Review and process all designated insurance vouchers received, rebilling charges not paid and processing adjustments as needed utilizing websites or telephone as necessary
- Process all secondary billing as requested by patients or defined by procedure
- Distribute incoming insurance mail received and respond to all audits, inquiries and additional information requests
- Process corrections/adjustments as necessary to correct the patient's invoice
- Process designated insurance reviews when requested to obtain additional payments on claims utilizing websites or telephone as necessary
- Analyze and process front-end system edits for correct physician productivity and billing of claims
- Analyze and process back-end system edits for correct registration and billing of claims
- Analyze and process claims denied through clearinghouse
- Investigate and process claims in the insurance work files and/or on the insurance reports
- Must report all incidents to immediate Supervisor or Manager
- Assist with special projects and assignments as directed
- Must attend in-services and training relevant to position
- Perform other job duties as assigned
- Confidentiality required
- Comply with the Springfield Clinic incident reporting policy and procedures
- Adhere to all OSHA and Springfield Clinic training & accomplishments as required per policy
- Provide excellent customer service and adhere to SC Way customer service philosophy
Desired Qualifications
- Working knowledge of medical terminology preferred
- Working knowledge of CPT and ICD-9 coding preferred