Insurance Specialist ID 2024-34398 Location : Company Name (Integration) Rehab Associates of Central Virginia Type Full-Time Overview

 

 

Position Title: Insurance Specialist

Clinic:  Lynchburg, VA

Supervisor: Billing Supervisor

Employment Type:  Full-Time

 

Distinguishing Characteristics of Work:

The purpose of this position is to effectively bill claims to all insurances daily, managing patient accounts and questions as well as responding to insurance denials and aging. This individual is assigned a group of 5-6 clinics for which they are directly responsible for all duties listed within this description.

 

Successful Insurance Specialists will:

Develop a clear understanding of how to contribute to the Rehab Associates Way and Rehab Associates Mission each day. Maintain a positive attitude and strive to always demonstrate the Rehab Associate Way and Family Code.Understand insurance and stay up to date on the plans that we participate with or work with more often.Consistently bill for your assigned insurance groups at least once a day. Secondaryand tertiary insurance should be batched at a minimum of 2 – 3 times each week.Utilize batch checks to ensure that all required information, including authorizations, pre-certifications, direct access, and/or physician information, have been entered before billing claims. Manage and follow up on all denied and rejected claims for your assigned clinics daily, within Waystar and Theraoffice. The most recent denials should be worked first, following older denials.Depending on the insurance, resubmit and appeal claims on the online portal, paper insurance form, or over the phone with the representative.Quickly answer the phone in a friendly manner and assist coworkers and patients who leave voice mail in a timely fashion.We should handle as many of our patient's needs as possible within a singlephone call with as little transferring as possible.  For example, if a patient calls with an insurance or account question and then would like to pay on their balance or set up a payment plan, you may do so while you have the patient on the phone. The less we can transfer patients, the better.Fully document each action on a patient's account with a detailed note, including the date, appropriate information, reference number if applicable, and your initials.When tasked by the Benefits Specialist if a patient will be responsible for $50.00 or more, call the patient to review their benefits prior to their initial visit. Answer any questions the patient may have about their benefits, payment at the time of service, and/or financial options. Consistently monitor task list and prioritize based on urgency.  Set tasks for account follow-up as needed.Consistently monitor email and prioritize based on urgency.  Respond to all emails within one business day.Work closely with other members of the billing team.  This position will work closely with the Benefits Specialist. If you finish your daily duties before the end of the business day, please check with the Benefits Specialist to see if you can aid them in any way. If they don’t need assistance, please then alert the Billing Supervisor. Additionally, this position will provide coverage for the Benefits Specialist and vice versa.Answer any questions or concerns PCCs, PTs, or PTAs may have throughout the day.Participate in team meetings and quarterly meetings as scheduled by supervisors.Communicate fully any questions, concerns, or issues directly to the Supervisor of Revenue Cycle.

Company Perks:

Competitive compensationExcellent benefits package including 401k Matching, health, dental, and generous paid time offStructured Training Provided Multiple opportunities for professional development, specialization, and leadershipEmployee Assistance Program (EAP)Investment from a company that wants you to succeed and thrive

At Rehab Associates of Central Virginia, we are dedicated to working with one another as a team across our sub-specialty practices and with our physician partners to:

Improve the quality of life of every patient we treat.Deliver comprehensive, specialized physical therapy treatment in a caring and convenient manner to everyone we serve.Utilize our expertise to educate and inform our patients, making them more self-reliant in managing their health and well-being.Provide a caring and rewarding work environment for our employees to enhance their personal and professional lives.Become every patient and physician's trusted choice in expert physical therapy care for every rehabilitation need.

Join us and be a part of our talented team!

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Candidates must clear a satisfactory background check, which may include a criminal, credit, motor vehicle report, licensure, employment verification, as well as clear government exclusions, and drug screen, depending upon position offered.

We are an Equal Opportunity Employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law. Application FAQs

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