The primary purpose of your position is to perform accurate, timely filings of initial Medicare and Medicaid insurance claims and secondary insurance claims in accordance with DNV, Federal, State, and local standards, guidelines and regulations that govern our facility and as may be directed by the CEO and CFO to ensure that the highest degree of quality of care is maintained always. Also, timely follow up claims not paid to assure payment to facility and maintain adequate cash flow and accounts receivable balance.
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to
HR@insightglobal.com.
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https://insightglobal.com/workforce-privacy-policy/ .
1. High School Diploma or GED required.
2. 3 years related experience and/or training.
3. Or equivalent combination of education and experience
4. At least 3-year experience in medical claim filing and vast knowledge of Medicare and Medicaid guidelines for Critical Access Hospitals.
5. Basic typing skills, proper phone etiquette and computer software and electronic claims input.
6. Ability to read and comprehend simple instructions, short correspondence and memos.
7. Experience using the DDE (Direct Data Entry) application for Medicare claims, submissions and status on billing.
8. Ability to effectively present information in one-on-one and small group situation to customers, clients, and other employees of the organization.
9. Ability to add and subtract two-digit numbers and to multiply and divide by 10's and 100's. Ability to perform these operations using units of American money, weight measurement, volume and distance.
10. Ability to apply common sense understanding to carry out instruction furnished in written, oral or diagram form. Ability to solve problems involving several concrete variables in standardized situations.
Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.