Insurance Reimbursement Specialist

Description

Neuroscience Group has a Full-Time position available for a team-oriented Insurance Reimbursement Specialist. This position will typically work Monday -Friday 8 hours per day. Some overtime may be required. This position will primarily be located at our Appleton clinic, however there will be times when it is necessary to work at our Neenah clinic. As an integral member of the Business Office the Insurance Reimbursement Specialist works in a team environment to interpret and evaluate appeals to include denials management, insurance follow-up with payers and insurance providers to assure timely turn around for claims resolution and reimbursement. They are responsible for communicating and working with insurance companies and medical billing staff to manage billing and various reimbursements. This position requires an understanding of medical records, coding, and billing practices to ensure compliance and patient confidentiality.

For over thirty years, Neuroscience Group has provided excellent neurologic care for the Fox Valley and Northeast Wisconsin. Ours is the only medical facility in the area that combines neurosurgery, neurology, orthopedic spine surgery, interventional and non-interventional pain management and physical therapy. Our practice has grown to over 50 providers and serves patients in nine outlying clinics scattered throughout the region. Our mission is to improve lives by providing the very best in brain, spine and pain care and we do that by living our company core values: compassionate care, teamwork, fiscal responsibility, continuous learning, leadership and community involvement.

RESPONSIBILITIES:

• Review payer reports to make sure all accounts are paid appropriately to reduce the total company accounts receivables.
• Utilize web portals to investigate and critique insurance claims as necessary
• Regular phone interaction with insurance companies to resolve claim issues
• Complete appeals for unpaid insurance claims as necessary
• Ability to problem solve and think critically
• Assist with major insurance billing issues
• Daily phone interactions with patients while exercising exceptional customer service skills
• Regular interaction and investigation of patient accounts in our practice management and EHR software
• Review and complete other practice management reports as necessary
• Operate in a team-oriented work environment
• Investigate claims issues and make recommendations for process improvement
• Adherence to compliance and completion of compliance training
• Continuous education through written publications, meetings, and webinars is imperative
• Understand insurance carrier guidelines and stay abreast of any changes that occur to communicate them to management and staff
• Adhere to confidentiality, state, federal, and HIPPA laws and guidelines with regards to patient's records

Requirements

KNOWLEDGE/SKILLS PREFERRED TO BE SUCCESSFUL IN THIS POSITION:

• 1-2 years of recent medical office experience in a similar capacity is preferred
• Previous customer service experience is preferred
• Proficient in basic computer functions
• Must have excellent analytical skills, especially on performing clerical tasks to evaluate insurance cases, investigate cases, and update the account information of the patients
• Should have strong communication skills and understanding of the insurance processes to be able to coordinate with the patient's, explaining the procedures of their claims accurately, and coordinate with the insurance management to improve the claims processes
• Ability to learn new software quickly
• Must possess excellent customer service, communication and organizational skills
• Understanding of CPT and ICD-10 coding, general medical terminology, accounts receivable, insurance collections, and medical billing is preferred
• Must possess attention to detail
• Ability to multi-task, prioritize appropriately, and work well both individually and as part of a team
• Ability to respond positively to constructive criticism and direction from supervisors
• Must display a friendly, tactful, and polite demeanor, and must be compassionate and caring when communicating with patients and coworkers
• Ability to maintain confidentiality of information

TYPICAL PHYSICAL DEMANDS AND WORKING CONDITIONS:

• Primarily seated work but will require some position change including bending, stooping, and stretching.
• May involve lifting supplies up to 20 to 30 pounds.
• Requires hand-eye coordination and manual dexterity sufficient to operate standard office equipment.
• Requires normal range of hearing and eyesight in order to communicate and function within this setting.

BENEFITS:

At Neuroscience Group we offer a very competitive salary along with a robust benefits package. The benefits include:

• NO NIGHTS, NO WEEKENDS, AND NO HOLIDAYS!
• Health Insurance
• Health Savings Account (HSA) with a generous employer contribution
• Dental Insurance
• Vision Insurance
• Company paid Long Term Disability and Life Insurance
• Voluntary Life Insurance and Short Term Disability available
• Voluntary Accident and Critical Illness Insurance
• Generous PTO and Sick Bank
• 401(k) with guaranteed employer contribution
• Profit Share
• Cash Balance Pension Plan
• Employee Assistance Program
• Timber Rattler Tickets
• Holiday party, summer picnic, and annual recognition for years of service
• Annual employee appreciation day