Job Details

Join the largest, private, allergy and asthma practice in the Rocky Mountain Region and enjoy a fast-paced, patient-focused, friendly and fun atmosphere. We are looking for a full-time (40 hours per week - flexibility in days/hours) Patient Finance and Insurance Verification Representative for our Administrative Office, located at Denver/Lowry (~1st and Quebec). We have been treating adult and pediatric patients for over 53 years who suffer with allergies, asthma and immunology-related illnesses.

Position Purpose: Reporting to the Director of the Patient Finance Office, this non-exempt, full-time position is responsible for day-to-day tasks associated with patient referrals, data collection, entry, retrieval and reporting of computerized patient billing system and collection on patient/insurance accounts. Responsibilities include but are not limited to:

Responsibilities:

• Working directly with the insurance company, healthcare providers, and patient, to get a claim processed and paid.
• Prepares and submits clean claims to various insurance companies either electronically or by paper.
• Processes payments from insurance companies/patients and prepares a daily deposit.
• Reviewing and appealing unpaid and denied claims.
• Verifying patients’ insurance coverage.
• Answering patients’ billing questions.
• Identifies and resolves patient billing complaints.
• Anticipates insurance trends and advises supervisor of changes.
• Process patient refunds.
• Review accounts and post adjustments.
• Determine reasons for unpaid/partial/incorrectly paid claims.
• Data entry/filing.
• Prioritize multiple tasks on a daily basis.
• Collaborate with management and co-workers on a regular basis to resolve issues and to work on patient account status.
• Detail documentation of actions taken and follow-up.
• Using highest degree of customer service, phone communications with patients explaining their responsibilities and payments and follow-up actions.
• Ability to set priorities and meet deadlines
• Demonstrates flexibility and professionalism
• Ability to communicate well at all levels and exercises confidentiality
• Takes initiative and is a self-starter
• Other duties as deemed necessary
• OSHA and HIPAA compliant

*Responsibilities are subject to change at any time based on company needs.

Prerequisites:

1. 3 plus years experience in operating a computerized billing system in a medical office.
2. Typing skills = minimum of 50 wpm.
3. Knowledge of small business computer applications in A/R, report analysis and computer terminal functions.
4. Knowledge of medical terminology and principles of medical office billing and insurance.
5. Working knowledge of EOBs, Patient Statements and other insurance correspondence.
6. Possesses clerical, math, 10-key touch and organizational skills.

Benefits include: Medical, dental, flex spending accounts, health savings accounts, life insurance, supplemental life insurance, AD&D, LTD, EAP, 401(k) plus company match, profit sharing, incentive plan, tuition reimbursement, paid time off, and flexible schedule. No nights, no holidays, no weekends.