- Claims follow-up, status, and appeals via online web portal or outbound calls to various insurance companies and Medicare.
- Performs verification as assigned.
- Responds to inquiries regarding patient accounts with appropriate and accurate information in a professional manner.
- Assist Patient Access Representatives with onsite patients for collections purposes.
- Provide backup phone coverage to Customer Service
- High School diploma or equivalent.
- Three years of experience in medical billing, registration or collection.
- NextGen EPM software experience is a plus.
- Two years of experience in medical claims follow-up, appeals, and collections.
- Two years of experience in a customer service environment.
- Epic software experience a plus.
- Availity/RealMed software experience a plus.
- Must have proficient keyboarding skills, be familiar with the Windows environment and have an understanding of various payer verification/claims software.
- Evidence of excellent communication skills both oral and written including the ability to spell accurately and write legibly.
- Excellent customer service skills.
- Continuous sitting.
- Frequent use of computer (repetitive fine hand manipulation) and simple grasping of items.
- Occasional bending and twisting of neck and back, standing and/or walking, lifting/carrying of items up to 25 lbs.
-
Insurance Specialist
3 weeks ago
Houston Cancer Treatment Centers Houston, United States**Insurance Specialist**: · - Collects and reviews clinical information for completeness and transfers to appropriate clinical reviewer for determination. · - Gets authorized referrals within authority guidelines and department standards for outpatient, inpatient and ancillary se ...
-
Insurance Authorization Specialist
3 weeks ago
Riverkids Pediatric Home Health Houston, United StatesAt Riverkids Pediatric Home Health, you are more than an employee, here you are our CREW members. We are actively seeking an Insurance Authorizations Specialist to aid in obtaining insurance approvals for our patients. · You will work as part of a team under direct supervision of ...
-
Insurance Verification Specialist
2 weeks ago
Premier Medical Resources Houston, United States**Premier Medical Resources** is a healthcare management company headquartered in Houston, Texas. At Premier Medical Resources, our goal is to leverage and combine the expertise and skillset of our employees to drive quality in all we do. Our goal is to create career pathways for ...
-
Junior Insurance Specialist
3 weeks ago
Inszone Insurance Services Houston, United StatesInszone Insurance Services is an independent insurance agency with more than 60 locations throughout the United States. Our firm specializes in customized insurance products for businesses and individuals. We have direct appointments with all the major insurance markets. We pride ...
-
Phlebotomist/ Insurance Specialist
1 week ago
Durrani MD Houston, United StatesOverview: · **Phlebotomist / Insurance Specialist** · **Location: Chinatown** · **Specialty: Urology** · **Job Type: Full Time (M-F)** · **Experience: 1 year+ (preferred)** · **Benefits: Health, Dental, Vision, Paid Time-Off** · **Responsibilities** · - Answer and effectively han ...
-
Insurance Collection Specialist
1 week ago
The Rose Houston, United States**Benefits** · - Medical, Dental, Vision, EAP, Disability, Life, Accident/Hospital/Critical Illness Insurance Plans · - Matching 401k · - Generous PTO · - Paid Holidays · - Work-Life Balance · - Free-Parking · - Free Tele-Medicine · **Location** · Area, Houston TX · - Business Ho ...
-
Insurance and Membership Specialist
6 days ago
AAA Texas Houston, United StatesWe are looking for someone who will thrive in a sales and service environment. We'll provide the training you need on an array of AAA products and services to interface with members with confidence. This training will help you meet your individual and team cross-selling and upsel ...
-
Insurance Sales Support Specialist
3 weeks ago
TGS Insurance Houston, United StatesIf you're a Customer Service Specialist with a strong customer-first focus and desire to make excellent money, you have a future here at Texas' fastest growing independent insurance agency. · Here at **TGS Insurance Agency**, we put the customer first and provide healthy compensa ...
-
Medical Insurance Verification Specialist
3 weeks ago
Houston Cardiovascular Associates Houston, United StatesBusy cardiology office seeks experienced Insurance Verification Specialist to verify patients' insurance eligibility and benefits prior to scheduled appointment date. Must have knowledge of healthcare insurance and have at least one year experience. High school graduate. Offering ...
-
Medical Insurance Billing Specialist
3 weeks ago
NEIGHBORHOOD CARE COMMUNITY CENTERS LLC Houston, United States**Qualifications**_: · Strong understanding of **EMRs, **_**eClinicalWorks**_**, Athena**, knowledge a PLUS · Familiar with Microsoft Excel and Word. · Knowledge of correct coding guidelines. Familiar with CPT/ICD-10 codes, correct use of modifiers, place of service and type of s ...
-
Insurance Follow-up Specialist
2 weeks ago
GETIXHEALTH Houston, United States**Principal Responsibilities** · - Follow-up with insurance companies on billed claims regarding claim status and resolution of payments in a timely manner. · - Thoroughly review all notes in patient accounts for potential insurance benefit eligibility. · - Access client systems ...
-
Commercial Lines Insurance Specialist
2 weeks ago
Inszone Insurance Services Houston, United StatesInszone Insurance Services is an independent insurance agency with multiple locations across the US. Our firm specializes in customized insurance products for businesses and individuals. We have direct appointments with all the major insurance markets. We pride ourselves in excee ...
-
Medical Insurance Collections Specialist
1 week ago
HCA Healthcare Houston, United States**Introduction**: · Do you have the career opportunities as a Medical Insurance Collections Specialist you want with your current employer? We have an exciting opportunity for you to join HCA Healthcare which is part of the nation's leading provider of healthcare services, HCA He ...
-
Insurance Specialist
15 hours ago
TEKsystems Houston, United States:Insurance Specialists are responsible for hospital and physician billing. The duties include working with payers to resolve issues and facilitate prompt payment of claims. Thorough knowledge and understanding of patient billing, claims submission, and payer specific requirements ...
-
Advanced Orthopaedic & Sports Medicine Houston, United States**Duties and Responsibilities**: · 1. Verifications, Eligibility & payment estimates for Physical Therapy visits · - Obtains patient eligibility and benefits via phone (live/automated) or online portal. · - Completes all verification to improve customer satisfaction allowing no m ...
-
Commercial Lines Insurance Specialist
4 days ago
Inszone Insurance Services Houston, United StatesInszone Insurance Services is an independent insurance agency with multiple locations across the US. Our firm specializes in customized insurance products for businesses and individuals. We have direct appointments with all the major insurance markets. We pride ourselves in excee ...
-
Commercial Lines Insurance Specialist
1 week ago
Inszone Insurance Services Houston, United StatesThis is a **full-time, onsite role** located at our Houston location. **Commercial insurance experience and current licensing are required.** · Inszone Insurance Services is an independent insurance agency with multiple locations across the US. Our firm specializes in customized ...
-
Woodlands Center for Special Surgery The Woodlands, United StatesOrthopedic surgeon's office seeking medical billing specialist with experience to become new team member. Experience must include but not limited to: · Insurance Verification · Submit office and surgery claims (electronic and mail) · Collect patient payments · Manually post patie ...
-
UTHealth Houston Houston, United States**What we do here changes the world.** UTHealth Houston is Texas' resource for healthcare education, innovation, scientific discovery, and excellence in patient care. That's where you come in. · **Once you join us you won't want to leave.** It's because we reward our team for the ...
-
Insurance Specialist
1 week ago
DERM SURGERY ASSOCIATES PA Bellaire, United States: · This is a day shift, Monday-Thursday 8-5, Friday 8-4. · **If you have the talent, this is a great opportunity to join a wonderful team and a great working environment. We offer exceptional benefits including Health Insurance, ancillary options, generous PTO Plan and 401k afte ...
Medical Insurance Specialist - Houston, United States - Medical Clinic of Houston, L.L.P.
Description
Job Description
Job DescriptionSalary:Job Summary
Communicates with internal and external individuals to obtain information, resolve issues, and maximize reimbursements for services. Monitors accounts to ensure correct reimbursement is received. Work closely with the manager and supervisors in formulating and implementing departmental objectives.
Responsibilities:
Education:
Experience:
Special Skills:
Physical Demands:
.
Equal Employment Opportunity
Medical Clinic of Houston, L.L.P. ("MCH") is an Equal Opportunity Employer. Equal employment opportunity is a sound and just concept to which MCH is firmly bound. MCH will not engage in discrimination against or harassment of any person employed or seeking employment with MCH on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, status as a protected veteran or other characteristics protected by law.