The primary purpose of this position is to create claims invoices to 3rd party insurance carriers for commercial products and to monitor aging to ensure proper and timely payment.
- Responsible for correcting claim data in Acuity Logic system prior to billing for specified plans
- Responsible for submitting both paper and electronic claims in Acuity Logic for specified plans to 3rd party carriers timely
- Responsible for submitting manual vouchers and invoices to plans that don’t accept claim forms in a timely manner
- Maintain and report personal KPI data to Manager on a weekly basis
- Responsible for interpreting and following up on claim denials from 3rd Party carriers for specified plans
- Responsible for monitoring the aging of specified plans to ensure prompt and accurate payment for specified plans
- Develops expertise in specific plans assigned to the position and acts as a department and company resource for questions relating to billing of these plans
- Assist AR Manager and Commercial Claim Supervisor on special projects as needed.
- Communicates all system, site, and billing company issues to the AR Manager on a timely basis to allow management oversight and proper resource planning
- Be a resource for retail units for questions relating to billing
- Makes recommendations for efficiencies, processes, etc. which will deliver quality, cost savings, and/or profitability improvements within the department and / or across the organization
Qualifications
- High school diploma or GED or equivalent
- 1 year AR experience with 3rd party billing
- Knowledge of insurance billing processes
- Entry level PC skills in MS Windows, Word and Excel
- Effective verbal and written communication skills to effectively speak with coworkers, and prepare concise and accurate reports
- Demonstrated ability to work successfully in a team environment, functioning for the good of the team over the individual
Benefits
- 401(k) with Match
- Medical/Dental/Life/STD/LTD
- Vision Service Plan
- Employee Vision Discount Program
- HSA/FSA
- PTO
- Paid Holidays
*Benefits applicable to full Time Employees only.
Physical Demands
- This position requires the ability to communicate and exchange information, utilize equipment necessary to perform the job, and move about the office.
