Insurance Specialist

hace 2 horas

Medellín Antioquia, Colombia RVStaffing A tiempo completo

**VIP Medical Group**, one of our top experts in vein disease and pain management is looking for associates to be a part of the **Medical Billing team** We specialize in pain management and vascular procedures. Our main goal is to always provide the best level of care and compassion to individuals who are being treated.

The **Insurance Payment Posting Specialist** is responsible for accurately posting insurance payments in the revenue cycle management process. This role requires attention to detail, knowledge of insurance payment practices, and an understanding of reconciliation processes to align daily bank deposits with entries in the practice management system. Additionally, the specialist will compile and submit weekly posting reports to the accounting division.

**What You'll Do**:

- Must have knowledge on 835 remit codes and how to interpret them.
- Engage in meaningful insurance discussions with clients, in regards of their outstanding balance, making sure all quotes are accurate in all systems
- Post both in-network and out-of-network insurance payments into the practice management system accurately and promptly.
- Verify payment entries to ensure they align with Explanation of Benefits (EOBs) and remittance advice from insurance providers.
- Obtain authorization via the payer website or by phone and follow up regularly on pending cases
- The ability to identify reasons for claim denials and take the appropriate action steps to resolve. - Initiate appeals for denied authorizations - payment oriented
- Respond to clinic questions regarding payer medical policy guidelines
- Other duties as assigned, aligned with the job responsibilities

**What You'll Bring To The Team**:

- High school diploma or GED required; associate or bachelor’s degree in accounting, finance, or a related field preferred.
- Minimum of 1-2 years in a healthcare revenue cycle or medical billing role, with a focus on insurance payment posting.
- Strong attention to detail and ability to work with numerical data.
- Proficient in using practice management and/or billing software.
- Knowledge of insurance EOBs, remittance advice, and payment methodologies.
- Basic understanding of medical billing, coding, and cost-sharing elements (copayments, deductibles, and coinsurance).
- Excellent organizational and time management skills.

**We Offer You**:

- Opportunities to work in a fast-paced startup environment supportive of teamwork, ownership, and purpose.
- Flexible working environment (flexible working hours, working from our state-of-the-art office space in El Poblado).
- One-of-a-kind company values and teamwork culture as well as a meaningful mission and challenging work.
- Private health insurance for you plus a family member.
- Special daily discounts on lunch with different options around the Mall.

Expected Start Date: 15/11/2024

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