Insurance and Billing Clerk

Alexandria, LA

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Description

Great company-expanding fast! Apply now!

ESSENTIAL SKILLS AND ABILITIES:

  • Computer literate with spreadsheet experience.
  • Strong mathematical and problem solving skills.
  • Excellent communication skills.
  • Working knowledge of medical insurance, verification procedures, and coding.
  • Ability to work as a team member.
  • Ability to manage multiple tasks simultaneously.
  • Well-organized with attention to detail.

EDUCATION AND EXPERIENCE:

  • High school diploma or GED.
  • Previous office experience in insurance and billing.
  • Strong computer background.

Job Requirements

Billing and Insurance verification duties may include:

  • Retrieve Exam and Material Authorizations for Vision Plans
  • Verify eligibility and benefits for work-in patients as needed
  • Post patient and insurance payments and review and follow up on explanations of benefits and other insurance communications.
  • Writes deposit and balances all transactions for the close of the day.
  • Calls patient past due accounts and establishes possible payment plan if appropriate and agreeable.
  • Processes and mails statements on a weekly basis.
  • Works with team leader to determine which accounts need immediate follow ups
  • Takes calls directed to the accounts receivable department from patients and/or insurance carriers.  Discusses accounts with patients and provides information required by insurance companies in order to get claim paid.
  • Secures pre-authorizations for surgeries, procedures performed by all physicians.
  • Enters charges for surgeries, procedures and other services.
  • Transmits electronic claims for Medicare, Blue Cross, Medicaid and Visionary.
  • Mails any primary insurance that is not electronically sent.
  • Mails secondary insurance and attaches explanation of benefits from other insurance.
  • Prepares all patient and insurance ledgers for refunds.
  • Any other duties assigned
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