OBGYN West, a division of Premier OBGYN of Minnesotais a leader in Women’s Health. We are committed to providing innovative, high-quality care to women of all ages. By building trust and working towards optimal health as a team, our doctors and staff help patients live healthier, happier lives. We have four clinic locations (Minnetonka, Eden Prairie, Chaska, and Waconia), and are looking for a hardworking individual to add to our wonderful staff. This position is fully remote, working Monday-Friday from 7:30am-4:00pm CST.
Job Responsibilities
- Provide service estimates to patients who inquire about pricing.
- Provide service estimates to staff who inquire about pricing for self-pay patients.
- Receive patient phone calls and respond to patient portal messages to assist in resolution while maintaining professionalism, with a customer service approach.
- Accurately enter patient payments and adjustments as needed.
- Establish patient payment plans as needed.
- Gather infertility benefit information from the insurance company and disseminate information to the patient.
- Answer patient questions regarding infertility pricing.
- Track infertility cycles and apply global package discounts as needed.
- Communicate with patients or guarantors by telephone to and update patient and guarantor demographic information, insurance packages, case policies, and/or documents necessary for resolution of the patient’s account.
- Maintain knowledge and understanding of insurance billing procedures to understand the reason for claims requiring edits (i.e., in HOLD, MGRHOLD and OVERPAID status) to ensure resolution and timely payment.
- Research and resolve claims based on assignment, which could include contacting payers via phone or website, contacting practices, working across departments, filing corrected claims, writing appeals and facilitating their submission, and all other activities that lead to the successful adjudication of eligible claims.
- Ensure resolution of patient cases via the Athena portal.
- Verify eligibility of insurance for patient appointments.
- Assist with daily lab billing requisition manifest.
- Prepare reports by collecting, analyzing, and summarizing information.
- Resolve claims by approving or denying documentation, calculating benefits due, and determining compensation settlement.
- Ensure legal compliance by following company policies, procedures, and guidelines, as well as state and federal insurance regulations.
- Maintain quality customer service by following customer services practices and responding to customer inquiries.
- Maintain a good relationship with insurance departments.
- Other duties as assigned by supervisor.
Education and Qualifications
- A high school diploma or equivalent for entry-level
- A minimum of 3 years in a similar position
- Extensive knowledge of insurance-related policies and legislations
- Proficient in analytical math
- Excellent conflict resolution skills
- Strong written communication skills
Job Type: Full-time
Pay: $20.00 - $22.00 per hour
Benefits:
- Dental insurance
- Flexible spending account
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Retirement plan
- Vision insurance
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Experience:
- Microsoft Office: 1 year (Preferred)
- Customer service: 1 year (Preferred)
Work Location: Remote
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