Insurance & Billing Officer (Kingston, Jamaica) - Heart Institute of the Caribbean

DESCRIPTION

 The Insurance and Billing Officer is responsible for submitting medical claims to insurance companies and following up on payments being received in a timely manner.

Duties:

• Obtaining referrals and pre-authorizations as required for procedures
• Checking eligibility and benefits verification for treatments, hospitalizations, and procedures
• Reviewing patient bills for accuracy and completeness, and obtaining any missing information
• Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing
• Following up on unpaid claims within a standard billing timeframe.
• Checking each insured payment for accuracy and compliance with contract discount
• Calling insurance companies regarding any discrepancy in payments if necessary.
• Identifying and billing secondary or tertiary insurances
• Reviewing accounts for insurance of patient follow-up
• Researching and appealing denied claims
• Answering all patient or insurance telephone inquiries pertaining to assigned accounts.
• Setting up patient payment plans and work collection accounts.
• Updating billing software with rate changes
• Updating cash spreadsheets, and running collection reports.

Basic Requirements include:

• A Bachelor's Degree in Business Administration, Accounting or Health Care Administration
• A minimum of one to three years of experience in a medical office setting
• Prior experience dealing with local and overseas insurance companies with respect to submitting requests for, obtaining and verifying pre-authorizations and guarantees of payment is an advantage.
• Proficiency in the following areas is preferred:
• Knowledge of insurance guidelines
• Competent use of computer systems, software, and 10 key calculators
• Effective communication abilities for phone contacts with insurances payers to resolve issues
• Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds
• Problem solving skills to research and resolve discrepancies, denials, appeals and collections
• A calm manner and patience working with either patients or insurers during this process
• Knowledge of accounting and bookkeeping procedures
• Knowledge of medical terminology likely to be encountered in medical claims
• Ability to multitask

Download an application
For Jamaican applicants click HERE.
For international applicants click HERE.
To apply for this position, download the application form, complete and email along with a letter of interest and copy of your resume to hr@caribbeanheart.com.