Recovery Specialist/Insurance Biller

Essential Job Functions:

• Work with insurance companies on behalf of hospitals and physician practices to resolve outstanding issues.
• Maintain a working knowledge of client policies and procedures.
• Maintain acceptable call quality as determined by the Management staff.
• Assist the Unit Manager or Team Lead in working priority reports promptly, effectively, and efficiently.
• Process payment information via the telephone.
• Resolve disputes
• Maintain accurate records within a collections database.
• Be a mentor to new employees and assist in their training and development.

Qualifications:

• Knowledge: Medical and insurance terminology such as CPT, ICD-9, HCPCS, co-pay, deductible or co-insurance, and full understanding of hospital/physician billing. High school diploma or equivalent.
• Experience: Minimum 1-2 years experience in Medical Billing/Coding and experience with standard office software products a must.
• Skills/Aptitudes: Demonstrated communication and problem solving skills and the ability to act/decide accordingly. Ability to collect, create and research complex or diverse information. Exceptional customer service and the ability to plan organize and exercise sound judgment.

Disclaimer: The above statements are intended to describe the general nature and level of work being performed. They are not intended to be an exhaustive list of responsibilities, duties and skills required.