Account Specialist - Orthopedics, FT

Job description

Inspire health. Serve with compassion. Be the difference. Job Summary: Responsible for processing insurance claims. Coordinates collections and delinquent unpaid accounts. Oversees claim processing. Investigates billing problems and assists with error resolution. Essential Functions: All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. Assists in the processing of insurance claims including Medicaid/Medicare claims. Collects and enters patient's insurance information into database. Assists patients in completing all necessary forms. Answers patient questions and concerns. Reviews and verifies insurance claims. Requests refunds when appropriate. Processes Medicare correspondence, signature, and insurance forms. Follows-up with insurance companies and ensures claims are paid within timeframes as outlined in MA policies and procedures. Resubmits insurance claims that have received no response. Answers telephone, screens call, takes messages, and provides information. Maintains files with referral slips, Medicare authorizations, and insurance slips. Identifies delinquent accounts, aging pe...