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INSURANCE BILLER - FULL TIME
The Toledo Clinic
Toledo, OH, USA
Posted on Wednesday, August 28, 2024
Hours are Monday - Friday 8:00 am - 5:00 pm
General Summary:
Verify patient insurance information and file insurance claims. Process payments and adjustments. Review and follow up of unpaid claims.
Works under the supervision of the Business Services Supervisor
Principal Duties & Responsibilities:
Example of Essential Duties:
1. Processes all insurance claims and correspondence.
2. Follows-up with companies ensuring claims are paid and proper reimbursements have been received.
3. Maintains files with referrals, progress and operative notes and correspondence.
4. Updates patient account database.
5. Assists with coding and error resolution.
6. Verifies reimbursement according to specific fee schedules.
7. Enters adjustments according to specific contracts.
8. Review suspense reports of unprocessed claims to reduce A/R days outstanding.
Other Essential Duties May Include (but are not limited to):
- Process, post and photocopy reimbursement checks if applicable.
- Other duties as assigned.
Knowledge, Skills & Abilities Required:
Required:
- Previous experience and knowledge of accounts receivable practices, business office procedures, and insurance reimbursement procedures required.
- Consistently arrives at work, in professional attire, on time and completes all tasks within established time frame.
- Seeks appropriate tasks when primary tasks are completed and assists co-workers as needed.
- Demonstrates adaptability to expanded roles.
- Adheres to all clinic policies and procedures
Education:
- HS diploma or GED.