Kelly Services is looking for an experienced Patient Benefits Specialist for the Coppell, TX area, who works well independently, and also supports their co-workers in running a successful revenue cycle and patient benefits department.Job Duties:
Communicates with various regional and national payers, including Federal, State, Third Party
(HMO,PPO, IPA, TPA Indemnity) to validate health plan eligibility, benefits, deductibles and maintains accurate documentation.
Serves as the point of contact for patients to ensure accurate communication of health plan benefits and eligibility and answers all patient concerns regarding coverage and billing details.
Coordinates all patient and insurance billing for the medical laboratory; ensures that patient information is entered accurately, verify patient insurance eligibility and benefits, submit prior authorizations and submit clean claims to insurance companies on a daily basis.
Reviews physician referrals for completeness and accuracy ensuring the referral includes patient information, diagnosis code, type of service, physician signature, date and authorization number is required.
Fax referral to referring physician if information is incomplete.
Establishes payment plans to help patients manage their payments, provide customer service to patients.
Prepares, reviews, and transmits claims using billing software, including electronic and paper claim processing.
Confirms patient demographic, insurance and referring physician information is accurately entered into system.
Identifies and bills secondary or tertiary insurances.
Provides case progress, insurance inquiry and reimbursement report to management.
Maintains contact with patients and medical facilities and provides updates on authorization progress and case processing status.
Maintains patient confidentiality as per the Health Insurance Portability and Accountability Act of1996 (HIPPA).
Performs other related duties or special projects as assigned.
Requirements:
High School Diploma; Associate’s/Bachelor’s degree or equivalent experience preferred.
Medical Certification is highly desirable (Coding and Billing Cert.)
1-3 years of Customer Service experience in the health industry.
1-3 years of work experience in Medical Billing and Coding.
1-3 years of work experience in high call volume setting with insurance and patients.
Knowledge of and experience with CPT-4 and ICD-9 and HCPC billing, coding and posting charges in medical billing software.
Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
Knowledge of insurance plan benefits and terminology.
Knowledge of and experience with contract payer policies and procedures.
Knowledge of HIPPA compliance.
Proficient in Microsoft Office Suite applications High School Diploma; Associate’s/Bachelor’s degree or equivalent experience preferred.
Knowledge of and experience with contract payer policies and procedures.
Knowledge of HIPPA compliance.
Proficient in Microsoft Office Suite applications. Must be accurate with attention to detail.
Customer service skills for interacting with medical billing clients and patients regarding medical claims and payments.
Ability to work well in a team environment. Being able to triage priorities, delegate tasks if needed, and handle conflict in a reasonable fashion
Location: Coppell, TXM-F/9a-6p; 10a-7pFully Onsite6mo. Contract/Possible Temp-to-hireAs part of our promise to talent, Kelly supports those who work with us through a variety of benefits, perks, and work-related resources. Kelly offers eligible employees voluntary benefit plans including medical, dental, vision, telemedicine, term life, whole life, accident insurance, critical illness, a legal plan, and short-term disability. As a Kelly employee, you will have access to a retirement savings plan, service bonus and holiday pay plans (earn up to eight paid holidays per benefit year), and a transit spending account. In addition, employees are entitled to earn paid sick leave under the applicable state or local plan. Click here (https://www.mykelly.com/help-support-working-with-kelly-us/#Benefits) for more information on benefits and perks that may be available to you as a member of the Kelly Talent Community.Get a complete career fit with Kelly ® .You’re looking to keep your career moving onward and upward, and we’re here to help you do just that. Our staffing experts connect you with top companies for opportunities where you can learn, grow, and thrive. Jobs that fit your skills and experience, and most importantly, fit right on your path of where you want to go in your career.About KellyWork changes everything. And at Kelly, we’re obsessed with where it can take you. To us, it’s about more than simply accepting your next job opportunity. It’s the fuel that powers every next step of your life. It’s the ripple effect that changes and improves everything for your family, your community, and the world. Which is why, here at Kelly, we are dedicated to providing you with limitless opportunities to enrich your life—just ask the 300,000 people we employ each year.Kelly Services is proud to be an Equal Employment Opportunity and Affirmative Action employer. We welcome, value, and embrace diversity at all levels and are committed to building a team that is inclusive of a variety of backgrounds, communities, perspectives, and abilities. At Kelly, we believe that the more inclusive we are, the better services we can provide. Requests for accommodation related to our application process can be directed to Kelly’s Human Resource Knowledge Center.
Kelly complies with the requirements of California’s state and local Fair Chance laws. A conviction does not automatically bar individuals from employment.Kelly Services is proud to be an Equal Employment Opportunity and Affirmative Action employer. We welcome, value, and embrace diversity at all levels and are committed to building a team that is inclusive of a variety of backgrounds, communities, perspectives, and abilities. At Kelly, we believe that the more inclusive we are, the better services we can provide. Requests for accommodation related to our application process can be directed to Kelly’s Human Resource Knowledge Center. Kelly complies with the requirements of California’s state and local Fair Chance laws. A conviction does not automatically bar individuals from employment.
Full-time