Insurance Specialist - Eagle Business Services

Come join our team and be part of an enriched and satisfied workforce.

** Eagle Physicians may pay all support staff employees hired as a .50 FTE or higher on-or-after April 1, 2024, structured bonuses over their first two years of employment with Eagle as outlined provided. Bonus Amounts are  $750.00 at 6 months,  $750.00 at 12 months,  $1,000.00 at 18 months and  $1,000.00 at 24 months.

Paid Maternity/Paternity leave– Eagle provides up to 2 weeks of paid maternity/paternity leave after 1 year employed and 1,250 hours worked for the birth or adoption of a child. Time is pro-rated based on FTE status. 

Influenza vaccine required as a condition of employment, please direct questions to Eagle HR. Eagle is an Equal Opportunity Employer.

 
Key Responsibilities:

• Accurate posting of insurance payments (electronic and paper) and adjustments.
• Work insurance claim denials to ensure processing is accurate.
• Follow up on delinquent insurance payments.
• Review transaction denials and work with Eagle Business Services staff and/or sites to re-file charges if appropriate.
• Assist patients with insurance related questions including accurate explanation of how insurance processed their claim.
• Research all information needed to receive reimbursement for charges.
• Maintain relationship with select payer(s) to facilitate timely resolution of issues and reimbursement of claims.
• Participate in educational activities.
• Show respect, courtesy, and advocacy in all dealings with all people.
• Display a positive attitude, and team-oriented spirit, indicated by a willingness to assist where and whenever needed.
• Attend meetings as required.
• Make sure every claim and/or account is accurately and concisely noted.
• Write legibly and with correct grammar and sentence structure.
• Follows HIPAA guidelines for patient confidentiality and maintains security of   Protected Health Information (PHI) and business information.
• Does not exhibit, divulge, copy or remove the contents of any record except to fulfill work assignments.

• Upholds and exemplifies through daily actions, activities and behaviors Eagle’s Diversity, Equity, and Inclusion values.

• Upholds and exemplifies through daily actions, activities and behaviors Eagle’s Vision, Mission and Values:
• Vision: Eagle Physicians will be seen as the healthcare organization of choice by patients, staff and the community.
• Mission: Eagle Physicians will provide patient-centered healthcare for our community with a team committed to high-quality, supportive and compassionate care.
• Values: Integrity, Compassion, Trust, Professionalism and Respect.
• Performs additional duties as required.

PERFORMANCE REQUIREMENTS:

Knowledge, Skills & Abilities

Knowledge of billing practices, CPT, ICD, and HCPCS codes. Good understanding of healthcare insurance. Skill in using computer and calculator. Ability to examine documents including payer policy and explanation of benefits for accuracy and completeness paying close attention to detail. Ability to prepare records in accordance with detailed instructions. Ability to work effectively with co-workers. Ability to communicate clearly. Pleasant and helpful telephone and customer service skills. Desire to solve problems and serve Eagle.

Education: High school diploma or GED.

Experience: One year of medical billing experience in a health care organization.

Certificate/License: None

ALTERNATIVE TO MINIMUM QUALIFICATIONS: Additional appropriate education may be substituted for one year of billing experience.