Billing and Insurance Specialist Job In Palm Springs, Florida
Patient Account LiaisonNext Steps... Apply Now
General Statement of Job
This position compiles and reviews information needed for billing, follow up and collection purposes. The Patient Account Liaison is responsible for entry of all of the data needed to produce a clean claim and following up on all rejected claims. Responsible for all of the follow up and collection of unpaid balances. The Patient Account Liaison shall also provide prompt responses to telephone inquiries from patients, physician staff, insurance companies and other outside agencies. Employees in this position are responsible for following up on denied or returned insurance claims. The employee performs collection duties in accordance with all applicable state and federal collection regulations and compliance standards while maintaining a professional manner at all times.
Specific Duties and Responsibilities
Prepares and submits clean claims to various insurance companies either electronically or by paper with required documentation as needed.
Corrects and rebills all claims on rejected claim report.
Maintains and updates the unbilled/unfiled claim report.
Performs consistent follow up on unpaid claims utilizing monthly aging reports.
Files appeals when appropriate to obtain maximum reimbursement.
Researches reasons for non-payment and acts as the primary problem solver.
Takes appropriate actions on all unpaid claims to secure payment arrangements from the insurance company and guarantors.
Communicates with insurance companies, doctors, lawyers, and other payers to resolve unpaid claims.
Responds to patients and other third party telephone inquiries. Routes communications to appropriate personnel for further assistance as needed.
Performs secondary billing procedures after primary insurance is paid.
Makes recommendations to supervisor for collection agency placement on delinquent accounts.
Monitors payment plans for prompt payment.
Reviews insurance remittances to ensure accurate payments; resubmits or appeals as necessary.
Advises patients of necessary actions and strategies for debt repayment.
Maintains knowledge of the requirements and regulations of specific insurance carriers and corresponding insurance forms.
Recognizes coding problems and initiates resolution with records or billing staff.
Performs accurate and timely patient account maintenance in the appropriate billing software.
Checks explanation of benefits on account payments for either a write off or to be referred to another collector for secondary billing.
Cross-trains in other functions for the department as needed.
Maintains accurate productivity records in accordance with operating procedures.
Prepares and processes requests for refunds with necessary documentation and submit to supervisor for approval.
Prepares, reviews and sends patient statements
High School Diploma or GED required. Associate’s Degree related to Business or Medical preferred.
Two (2) to three (3) years Accounts Receivable experience required.
The Health Care District is an Equal Employment Opportunity Employer and maintains a Drug Free Workplace. Veterans preferred. Qualified individuals with disabilities who require an accommodation to participate in the application process or candidates with other questions should contact Human Resources.
Dedicated to the Health of the Community The Health Care District of Palm Beach County is an integrated public health system established in 1988 as a special taxing district that is an equal opportunity employer of approximately 1,000 employees. The Health Care District's mission is to ensure access to a comprehensive health care system and the delivery of quality services for the residents of Palm Beach County. The Health Care District provides challenging and fulfilling employment opportunities through its health coverage programs for uninsured residents, a nationally recognized Trauma System, adult and pediatric services at the four C. L. Brumback Primary Care Clinics, a School Health program which staffs registered nurses in nearly 170 public schools, a pharmacy operation, a long-term skilled nursing and rehabilitation center, and its acute care hospital, Lakeside Medical Center, in rural western Palm Beach County.