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HealthCore Clinic Insurance and Reimbursement Representative in Wichita, Kansas

This job was posted by https://www.kansasworks.com : For more information, please see: https://www.kansasworks.com/jobs/12318737

Essential Functions:


+ Excellent interpersonal and organizational skills are required, including the ability to multi-task and adapt to a changing work environment. Display good judgment and decision-making skills.


+ Ability to establish and maintain effective working relationships with other administrative, clinical staff, and the public.


+ Display professional appearance in accordance with HealthCore Clinic’s (HCC) policies.


+ Work rejections and denials, resubmitting claims, filing appeals and providing additional information to substantiate claims information as needed.


+ Process all insurance claims accurately through the clearinghouse either electronically or by paper to ensure a timely return of payment.


+ Process payments and denials from insurance companies both electronically and manually.


+ Assist in verifying accuracy of claims and patient bills


+ Engage with insurance representatives to identify and resolve issues in claims processing.


+ Prepare, review and send patient statements and work collection of patient balances.


+ Support enrollment/referral of patient to potential insurance programs for coverage,


+ Verify patient insurance policies and demographics and assist patients in understanding coverage


+ Manage patient inquiries and provide patient financial counseling,


+ Identify and resolve patient billing issues, including unpaid balances; setting up payment plans and validating if they meet qualifications for discounted services.


+ Review accounts and make recommendations to management regarding non-collectible accounts.


+ Reconciling posting of payments with finance department.


+ Support quality improvement pay for performance reimbursement initiatives provided by insurance companies.

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+ Stay current on billing and insurance guidelines and requirements.


+ Participates in educational opportunities.


+ Maintain strictest confidentiality, and adheres to all HIPAA guidelines/regulations.


+ Other duties as assigned.

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