Insurance Billing Specialist II

Description

We are on Fire!  Ignite Medical Resorts is Hiring an experienced Insurance Billing Specialist II

If you want to work with a company who values and appreciates its employees, join Ignite Medical Resorts and help us to Extinguish the Stereotype! We are a state of the art rehabilitation resort where we combine uncompromising luxury, never before seen amenities, and the highest quality care to provide a superior rapid rehabilitation experience.

Essential Duties and Responsibilities 

· Prepares and submits claims as assigned from the following list: (including, but not limited to): 

primary, secondary and supplemental insurance claims, including VA, hospice and Medicare coinsurance that is billable to an insurance plan.

· Utilizes company approved system to document and follow up on payer commitments.

· Responds to payer requests for documentation.

· Identifies payment discrepancies and unpaid claims; takes appropriate action to resolve balance.

· Prepares A/R adjustments and corrections as needed.

· Identifies, researches and resolves credit balances according to policy and payer requirements. 

· Identifies adverse facility trends resulting in returned or denied claims (e.g., repeated failure to obtain prior authorization) and communicates to Intake Administrator for follow-up with Admissions Coordinator

· Reports status of claims and AR balances to supervisor, upon demand and/or according to established schedule and procedures.

· Participate in monthly AR review.

· Prepares account write-off when collection efforts exhaust and submits to supervisor.

· Assists with training and orientation of Insurance Billing Specialists I.

· Adheres to the Company Code of Conduct and Business Ethics policy, including documentation and reporting responsibilities.

Other Duties: Please note this job description is not designed to cover or contain a comprehensive list of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

If you are dedicated, compassionate, dependable and energetic – WE WANT YOU!

Awesome Benefits that Ignite Team Members can expect:

· COMPETITIVE WAGES

· GENEROUS BENEFITS PACKAGE INCLUDING HEALTH, DENTAL & VISION

· 401K PLAN WITH EMPLOYER MATCH

· PAID TIME OFF

· HOLIDAY PAY

· VOLUNTARY BENEFITS - LIFE/AD&D, STD, LTD, CRITICAL ILLNESS, ACCIDENT, HOSPITAL INDEMNITY

· SHORT-TERM AND LONG-TERM DISABILITY

· EMPLOYEE ASSISTANCE PROGRAM (EAP)

· HEALTH SAVINGS ACCOUNT (HSA)

· EMPLOYER PAID LIFE INSURANCE

· RASMUSSEN COLLEGE 20% DISCOUNT FOR IN PERSON CLASSES

· HOSPITALITY AND TEAMWORK FOCUSED CULTURE

· A COMMITMENT TO TECHNOLOGY

· FREE PLANET FITNESS MEMBERSHIP

· ON DEMAND PAY

· COMPANY SPONSORED DOORDASH DELIVERY SERVICE

· ADVANCEMENT OPPORTUNITIES

· SUPER PERKS PROGRAM PET INSURANCE 12%-30% DISCOUNTS

· SUBSIDIZED CHILD CARE BENEFITS

Ignite Medical Resorts is an Equal Opportunity Employer.

Requirements

QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements below are representative of the knowledge, skill, and/or ability required.

· High school diploma or G.E.D.

· Minimum of three (3) years’ experience in health care insurance billing, preferably for skilled nursing facility providers.

· Comprehensive knowledge of commercial insurance and managed care plans, including basic coverage models, billing requirements, subscriber and provider responsibilities, and coordination of benefit (COB) rules.

· Ability to manage, analyze and reconcile billing and payment detail.

· Ability to work well in a team-oriented, cooperative environment.

· Strong organizational skills and communication skills.

· Must be able to read, write, speak, and understand the English language.

· Excellent interpersonal skills

· Exposure to automated tasking system, preferred