Responsible for updating and verifying insurance coverage, ensuring all documentation needed to bill is obtained and accurate. Review Family Cost Share (FCS) agreements for accuracy. Prepare and send patient statements. Occasionally will assist billing specialist’s in day-to-day billing duties.
1. Verifies insurance coverage and assists in obtaining pre-authorization from insurance carriers, when necessary. Compiles and submits all required documentation to the insurance.
2. Processes patient statements, keys data, posts transactions, and verifies accuracy of input to reports generated.
3. Researches and responds in person, by telephone, or in writing to patient inquiries regarding billing issues and problems.
4. Follows up on submitted claims; monitors unpaid claims, initiates tracers; resubmits claims as necessary.
5. Posts and reconciles payments to patient ledgers.
6. Follows and reports status of delinquent accounts.
7. Review and process billing forms to verify accuracy.
8. Maintains patient demographic information and data collection systems.
9. Maintains billing/filing records in accordance with established protocol.
10. Performs a variety of general clerical duties and other routine functions.
11. Ensures strict confidentiality of financial records as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
12. Performs other duties as assigned.
- Must be proficient in the use of a personal computer with advanced level keyboarding skills
- Must have strong interpersonal skills required in the areas of verbal and written communications, facilitation, customer focus, and professionalism
- Must have strong listening, assessment, prioritization, organization, troubleshooting, and problem solving skills
- Must have basic knowledge of CHIPS, Medicaid, Private Insurance, and other third party payer billing requirements
- Must have a High School diploma or GED with a minimum of (2) years relevant employment experience
- Must have knowledge of basic office and computer skills
- Minimum of one year experience in medical office setting
- High School Diploma or equivalent
We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
Community Action Corporation of South Texas
Welcome to Community Action Corporation of South Texas (CACOST)!
CACOST is a private non-profit organization established in 1971 and funded through federal, state and local grants. CACOST currently serves 16 counties via a wide variety of community programs and services. CACOST lives its mission each day, which is to continuously improve the lives of South Texans by providing high quality health care, education, housing and economic opportunities to reduce poverty through services and partnerships.
CACOST is looking for employees who are interested in accomplishing our mission, which can be both rewarding and challenging. We count on our employees to contribute directly to the growth and success of our agency. Because the quality of our staff is the key to our success, we carefully select our new employees. Apply today to join our CACOST family and take pride in being a member of our team.
Company Website: cacost.org
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