To apply for this position, please apply directly at www.joslin.org

Use this address: https://jobs-joslin.icims.com/jobs/3639/insurance-specialist-%28revenue-cycle%29/job

The Revenue Cycle's Insurance Specialist’s primary responsibility is to work and resolve unpaid and denied claims. This position also provides customer service, updates account demographic and insurance information, and works credit balance reports.

Hours are Mon-Fri 8:00 am-4:30 or 9:00 am-5:30.

After initial training/orientation on-site, the role has hybrid option available.

Responsibilities:

• Reviews all claims in Accounts Receivable in their work-log. Takes necessary action to resolve encounters in a timely manner, ensuring accurate payment for services provided.
• Maintains a thorough knowledge of third party requirements for claim adjudication.
• Advises manager of any payer changes or trends in claims processing, denials or payments.
• Exercises good judgment in working accounts.
• Utilizes all resources available, including electronic inquiries to verify eligibility, benefits, status of claims and for claim reconsiderations.
• Demonstrates excellent customer service skills when responding to incoming calls in a most courteous manner providing clear and appropriate information as needed.
• Works correspondence daily.
• Updates demographic and financial information in practice management system as needed.
• Documents all activity on account in a clear, accurate and consistent manner.
• Works credit balance report timely, submitting requests for refunds or adjusting account as appropriate.
• Demonstrates the ability to reconcile payments and contractuals when reviewing accounts in order to ensure the accuracy of the account balance.
• Attends BIDPO insurance seminars/orientation.
• Attends and actively participates in staff meetings.
• Adheres to HIPAA privacy and confidentiality regulations and guidelines.
• Submits required productivity reports, which should reflect accurately the work performed.
• Performs other duties as assigned.

Qualifications:

• High School Diploma Required
• Minimum of 2 years' experience in medical billing is essential; experience with hospital billing highly preferred
• CPT/ICD-10 a plus but not required
• Strong analytical and mathematical skills
• Outstanding customer service
• Very good verbal and written communication skills (English)
• Bilingual a plus
• Must be detail oriented, with the ability to prioritize responsibilities – through completion
• Ability to work independently and with minimal supervision

Joslin is an Equal Opportunity Employer of Minority/Female/Individuals with Disabilities/Protected Veterans. Joslin values diversity and inclusion, and we encourage diversity applicants.

Joslin Diabetes Center is an Equal Opportunity Employer and it is the policy of Joslin to prohibit discrimination of any type and to afford equal employment opportunities to employees, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, marital/parental status, disability status, protected veteran status or any other status protected by law.

Job Type: Full-time

Pay: $50,000.00 - $55,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Employee assistance program
• Employee discount
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Professional development assistance
• Retirement plan
• Tuition reimbursement
• Vision insurance
• Work from home

Schedule:

• Monday to Friday

Application Question(s):

• Do you have experience in hospital billing?
• What are your hourly salary expectations? (We are not asking for, and please do not provide, your current salary or salary history.)
• To formally apply for this position, I understand I must apply on www.joslin.org (https://jobs-joslin.icims.com/jobs/3639/insurance-specialist-%28revenue-cycle%29/job)

Experience:

• Medical billing: 1 year (Preferred)

Work Location: Hybrid remote in Boston, MA 02215

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