Job Description
Urology Specialists is a busy independent practice located in southeastern Sioux Falls. Our group consist of eleven board certified urologists and eleven mid-levels. We offer the highest quality of comprehensive urological care in the region.
Job Description
We have an OPEN position in our Billing Department. We are looking for a fulltime Insurance Reimbursement Specialist. Here are a few details:
This position would work in a team environment to interpret and evaluate appeals including denials management, insurance follow-up with payers and insurance providers, to assure timely turn around for claims resolution and reimbursement.
Other tasks include, but are not limited to:
- Identifies and resolves patient billing complaints.
- Answers incoming phone calls or in person contacts with patient regarding account.
- Participates with other staff to seek account resolution and help work denials.
- Serves as liaison with insurance companies to resolve pending claims.
- Initiates all billing processes to include primary and secondary insurance claims, workers compensation and paper claims.
- Research overpayments due to patient and insurance company.
- Complete insurance verification process.
- Processes referral requests and obtains referrals when necessary.
- Communicates denials and high deductible information to appropriate Billing staff.
Education and Training requirements:
- High School Diploma or GED
- Minimum 1 year medical billing experience in a physician office setting with knowledge of various medical payer practices and insurance laws/guidelines (Medicare, Medicaid, Work Comp, VA, and other third-party payers)
- Experience with EHR and electronic claims preferred
- Basic knowledge of CPT and ICD-10 coding principals
This position is full-time. Business office hours are Monday - Thursday, 8 am-5 pm and 8 am-4 pm on Friday (with a 1/2 day off per week). We offer a competitive compensation and comprehensive benefits package including health, dental, vision, 401K, life insurance, AD&D, short and long-term disability, PTO, sick leave, and paid holidays.