job vacancy as MedPro Insurance Specialist in Pensacola

Job Title: MedPro Insurance Specialist

Company: Medical Center Clinic

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General Information

Location:	US-FL-Pensacola
Job Type:	Health Care, Insurance
Base Pay:	N/A
Req'd Education:	High School
Employee Type:	Full-Time
Req'd Experience:	At least 1 year(s)
Req'd Travel:	Not Specified
Manages Others:	False
Relocation Covered:	False

Job Description

Job Description MedPro Insurance Specialist I

SUMMARY OF POSITION: Under the direction of the Accounts Receivable Manager, the Insurance Specialist I is responsible for performing the duties related to insurance follow up/collection, customer service, reconciles A/R, work the paperless eob file within 72 hours of receipt, refile coding denials with appropriate material received from the Physician Practice Manager (PPM), work all reports related to the job, assists with projects as assigned and performs other related duties as requested by the Accounts Receivable Manager.

DEPARTMENT: MedPro Solutions, Insurance

REPORTING RELATIONSHIP: MedPro Solutions - Accounts Receivable Manager DRESS CODE: MedPro Soutions Uniform

MAJOR DEPARTMENT RESPONSIBILITIES:

1. Work the paperless eob file (Goal: within 72 hours of receipt)
   1. Non coding denials
   2. Coding denials from the PPM
2. Work weekly reports
   1. No activity (Goal: 1 week)
   2. Aged Trial Balance (Goal: 1 month based on statement date)
   3. Nontag (Goal: 1 week)
3. Work insurance request (Goal: 2 weeks upon receipt)
4. Work correspondence (Goal: 7 days upon receipt)
5. Work rebilled HCFA claim forms (Goal: 7 days upon receipt)
6. Adhere to department and business office work hours.
7. Respond to questions from patients, MedPro customers or other billing staff related to insurance or account A/R activity in a courteous and professional manner.
8. Communicate with AR Manager on carrier trends.
9. Provide statistical data as directed by AR Manager.
10. Refile coding denials with appropriate material received from the Physician Practice Manager.
11. Performs other duties as assigned by Accounts Receivable Manager.

MAJOR CORPORATE CULTURE RESPONSIBILITIES:

1. Follow established corporate and department-specific policies and procedures
2. Attend all corporate and department-specific required training.
3. Comply with MCC Service Standards:

MAKE FIRST IMPRESSIONS POSITIVE ONES. Greet all patients, visitors and co-workers in a pleasing manner with eye contact, a verbal greeting, and a smile. Offer assistance to anyone who appears lost or in need. Walk patients to their destination rather than pointing the way; use good elevator etiquette.

DEMONSTRATE A TEAM ATTITUDE. Remember you are part of a team, and the success of MCC is everyone’s responsibility. If you don’t know how to assist a patient or co-worker with an issue, find someone who can. Be personally responsible for making sure issues are addressed.

MAINTAIN A PROFESSIONAL APPEARANCE. Wear your name badge at all times. Comply with the uniform policy for your department or job description. Confine gum chewing and eating to break areas; save personal conversations for break times; turn off non-work related cell phones. Maintain a neat and clean work area, both in your department and throughout MCC.

DEMONSTRATE A POSITIVE ATTITUDE. Interact with all patients, visitors, and co-workers in a professional and upbeat manner. Be courteous, respectful, friendly, and helpful. Express yourself and your concerns using helpful words versus confrontational words or profanity. If you are unable to maintain a positive approach, remove yourself from the situation.

MAKE LASTING IMPRESSIONS POSITIVE ONES. Maintain patient privacy and confidentiality at all times. End your interactions with patients, visitors and co-workers with a friendly or kind word. Make sure patients waiting alone at the front door have transportation home.

4. Perform other duties as may be assigned cheerfully and willingly.

Job Requirements

1. Demonstrated customer-service skills.
2. Be a person of integrity and character, willing to embrace change and make a positive impact in the lives of patients and co-workers.
3. Ability to work with staff members at all levels of the organization in a cooperative, team-oriented manner.
4. Be able to work overtime as the need arises.
5. Good organizational skills and the ability to adapt to frequent changes.
6. Experience with Microsoft applications.
7. Minimum 6 months of experience on the PPP system or comparable system/medical billing experience.
8. Must be committed to the protection of confidential information, records and/or reports.
9. Minimum education requirement is high school diploma or GED.

10. Proficient use of the English language in both verbal and written communication.

11. Ability to sit consistently during a minimum 8-hour workday, with one hour for lunch.

12. Ability to look at a computer screen for extended periods of time.

13. Ability to perform constant repetitive hands and finger motions.

14. Ability to maintain focus while working in close proximity to others.

Contact Information

Contact:	Renae Taylor
Phone:
Fax:
Ref ID:

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