Tier 1 Business Services Specialist II

Position SummaryResponsible for all aspects of assigned patient accounts after charge entry to final resolutionEssential Functions Statement(s)Verifies and updates insurance information and demographicsrebills charges when insurance corrections are made Keeps up with changes in billing and pre-cert guidelines (including LCD's)Reviews insurance eligibilityDetermines and reviews financial responsibilities and insurance coverage with patientsResolves patient balance related questionsReviews surgery costs and establishes payment plans for patient portionReports denial trends to coders and managers Completes charge entry Processes patient and payor refunds Reviews insurance eligibility and rejections/errors Follows-up on aging buckets Identifies accounts for referral to outside collection agencyEdits claim holdsKeeps up with changes in payor processes and reports them to coordinator for appropriate actionObtains all precertificationResponds to correspondence from payors and patientsRegular and predictable attendanceAbility to work in a cooperative manner with othersPerforms other duties as assigned

SKILLS & ABILITIESEducation:

High School Graduate or General Education Degree (GED)

Experience:

Previous healthcare billing experience is required

Computer Skills:

Must be computer literate. Basic computer skills required. Must be able to type.

Campbell Clinic Benefit Summary:

Campbell Clinic offers a lucrative benefit package to support employees and their families.

Medical / Dental

/ Vision InsuranceHRA OptionFlexible Spending Account Basic Life Insurance Voluntary Life Insurance OptionLong-Term DisabilityVoluntary Short-Term Disability Accident Insurance Critical Illness Insurance401(k) Plan Matching + Profit Sharing Employee Assistance Program Paid Time Off 8 Paid Holidays