EMS Management & Consultants, Inc. logo
EMS Management & Consultants, Inc.

The leading provider of revenue cycle management and technology solutions for the EMS industry.

Patient Insurance Specialist

InsuranceInsuranceFull TimeRemoteJuniorTeam 501-1,000H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

5 days ago

Salary

$15 - $17 / hour

Seniority

Junior

High School1 yr expExperience acceptedEnglish

Job Description

• Maximize client reimbursement through accurate and timely entry and processing of patient demographic information in accordance with client, company, and compliance standards. • Using various defined resources along with sound judgment and critical thinking, enter direct data from EPIC and/or other hospital billing software into EMS|MC billing software ensuring adherence to client, company, and compliance standards. • Check various insurance websites to discover and verify patient insurance maximizing reimbursement. • Updating patient insurance and/or demographic information accurately from various databases. • Ensure strict compliance with company standards regarding patient matching when adding patient information to avoid inaccurate updates. • Provide proactive and routine feedback to Claims Management Supervisor regarding any deficiencies, variances, and/or other issues identified during the billing process, including variances with incoming inventory. • Process all assigned pending and rejected claims in a timely and accurate manner. • Exhibit strong customer service skills to build and maintain internal relationships in order to best address client needs. • Meet or exceed contracted client service level agreements (SLAs) concerning turn-around-times and compliance standards on a consistent basis. • Conduct all job tasks, duties, and interactions with professionalism, respect, a positive attitude, and in accordance with company compliance policies and applicable government regulations. • Consistently support and demonstrate the company mission and values. • Perform other necessary tasks as assigned.

Job Requirements

  • High School Diploma
  • At least one-year experience in health care office, production, or clinical environment or comparable classroom experience
  • Strong comfort level learning new computer programs and software at a rapid pace
  • Self-motivated, goal oriented, and takes ownership of work
  • Ability to learn, understand and work within specific client requirements
  • Ability to learn, understand and apply applicable HIPAA, Medicare, Medicaid, insurance, and liability regulations/guidelines
  • Willing and able to adapt to changes in work environment, procedures, priorities, and job duties
  • Willing and able to receive positive and negative feedback and apply it to work environment in an appropriate and effective manner
  • Strong internal customer service skills
  • Good verbal and written communication skills
  • Positive interpersonal skills with the ability to function well within a cross-functional team setting and independently
  • Detail oriented with strong desire for accuracy
  • Must be able to manage time and maintain focus, concentration, and productivity while performing repetitive and sometimes mundane work
  • Strong, accurate data entry skills

Benefits

  • Employees must be able to perform the essential functions of this position.
  • Reasonable accommodations will be provided to qualified individuals with disabilities as needed to support their ability to perform these essential functions.
  • Individuals in this role are eligible to participate in a discretionary bonus plan and a comprehensive benefit package, including a retirement plan, health coverage, and paid time off.

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