Insurance Clerk
Delray Beach, FL
Full Time
Business Office (Insurance)
Experienced
RESPONSIBILITIES
Medical Mental Health
EDUCTION & EXPERIENCE
Minimum
- Answer calls from different department
- Intake new clients
- Answer insurance questions including going to different locations to meet clients
- Send missing documentation request's to appropriate staff
- Notify of any billing client or insurance changes
- Inform supervisors of any insurance or billing discrepancies
- Filing documentation including going to the Medical Records department for filing
- Obtains authorization for outpatient services as required
- Maintains all authorization documentation
- Informs pertinent staff of any and all discrepancies or changes with authorizations
- Send to appropriate staff all authorization information
- Submit claims and/or prepare claims for submission as needed
- Verify patient's eligibility and benefits
- Follow up on claim statuses as required and provide documentation of any updates
- Inform supervisors of any discrepancies in billing
- Submit appeals as required
Medical Mental Health
- Familiar with mental health terminology
- Minimal knowledge of Medicare and Medicaid
- Ability to effectively and professionally communicate with staff and clients
- Posses excellent verbal, written communicate with staff and clients
- Ability to work as a team player
- General office skill as well as working knowledge of Microsoft Business Office programs such as Microsoft Word, Excel
EDUCTION & EXPERIENCE
Minimum
- High School Diploma or equivalent
- 3 yrs experience in insurance billing
- Knowledge of electronic billing system
- AA/AS
- 5 years experience insurance billing and coding for Behavior Health Care Services
- Knowledge of insurance collections or claims follow up
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