Position Summary:
The Insurance Billing Order Entry Specialist I maintains a database by entering new and updated patient insurance information. Researches patient insurance coverage and eligibility. Assures accuracy with regards to content, spelling and insurance information.
Job Responsibilities:
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- Responsible for verifying patient insurance coverage, to ensure necessary procedures are covered by an individual’s provider.
- Responsible for entering data in an accurate manner, including patient benefit information in multiple systems and verifying that existing information is accurate.
- Prepares source data for computer entry by compiling and sorting information, establishing entry priorities.
- Processes patient and insurance source documents by reviewing data for deficiencies, discrepancies and specific details.
- Resolve discrepancies by using standard procedures or escalating incomplete documents.
- Double checks their work and assures all data is in the case correctly.
- Maintains data entry requirements by following data program techniques and procedures.
- Verifies entered customer and insurance data by reviewing, correcting, deleting, or reentering data.
- Maintains customer confidence and protects operations by keeping information confidential.
- Other duties as assigned by Management.
- This role works with PHI on a regular basis both in paper and electronic form and have an access to various technologies to access PHI (paper and electronic) in order to perform the job
Qualifications:
- High School Diploma or GED.
- 1-2 years of relevant work experience in the Healthcare Industry as it relates to Insurance coverage and benefits verification.
Required Knowledge, Skills and Abilities:
- Proficient in alpha/numeric data entry
- Proficient in Microsoft Office Suite, specifically Word, Excel, Outlook, or Google applications and general working knowledge of Internet for business use
- Ability to work in a fast-past, deadline driven environment including good multitasking skills
- Ability to define problems collects data, validate data, establish facts, and draw valid conclusions
Physical Demands & Work Environment:
- This position requires the ability to use a computer keyboard, communicate over the telephone and read printed material.
- Duties may require working outside normal working hours (evenings and weekends) on as needed basis.
Pay Range: The pay range for this role is $16.43-$20.54/hr. Actual compensation packages are based on a wide array of factors unique to each candidate, including but not limited to skill set, years & depth of experience, certifications and specific office location. This may differ in other locations due to cost of labor considerations.
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