Medical Insurance Specialist

With minimal supervision, responsible for ensuring payer and patient account balances are paid timely and remain current. Perform collection activities such as monitoring delinquent accounts, contacting patients for account payment, resolving billing problems, and answering routine to complex account inquiries. Support and adhere to the organization's Compliance Program, including Code of Ethics and Business Standards.

Monitor delinquent accounts and perform collection duties. Review reports, research and resolve issues. Review payment postings for accuracy and ensure account balances are current. Collaborate with co-workers to resolve insurance payment and billing errors. Update delinquent account statuses. Recommend accounts for collection or write-off. Contact patients to secure past due balances, verify patient demographics and insurance providers, update system information, and document conversations. Answer patient payment, billing, and insurance questions and resolve complaints. May refer patients to Patient Benefits Representative to set up payment plans. Maintain credit balances and ensure timely refunds within government guidelines/regulations. Adhere to confidentiality, state, federal, and HIPAA laws and guidelines regarding patient records.