WI3649533

1

First Shift (Day)

1

JOB REQUIREMENTS: Summary: An Insurance Specialist is responsible for
working and managing Accounts Receivable for our Clinic and Surgery
Center and providing excellent customer service to our patients.
Essential Duties and Responsibilities include the following. Other
duties may be assigned. Maintains comprehensive understanding of
insurance rules, regulations, and payer contract requirements. Monitor
Insurance Accounts Receivable for both our Clinic and Surgery Center by
following up on unpaid or denied insurance claims while adhering to
insurance carrier guidelines, file/refile and/or appeal claims to obtain
maximum reimbursement, and work credit balances in a timely manner.
Answer inquiries from insurance carriers and patients via mail or
telephone. Process patient payments received via mail or telephone.
Coverage of phone line for incoming Insurance Team calls. Update
demographic information in the system . Cross-train on functions within
Patient Accounts to help provide coverage occasionally as requested.
Follow all policies and procedures of the organization and department.
Participate in the development of department policies and procedures.
Handle other projects as assigned. Education/Experience: High school
diploma or equivalent. One or more years\' medical billing and/or
insurance experience required. One or more years\' experience balancing
accounts and handling payments required. Ability to make sound judgments
according to procedures or acceptable recommendations for exceptions
when needed. Current knowledge of insurance reimbursement structure
Qualifications: Excellent interpersonal skills to build effective
partnering relationships with internal departments. Excellent
communications skills both written and verbal. Ability to work on
variety of projects accurately and within timelines. Microsoft Excel and
Word experience Valid WI Driver\'s License Physical Demands: The
physical demands described here are representative of those that must be
met by an employee to successfully perform the essential functions of
this job. Reasonable accommodations may be made to enable individuals
with disabilities to perform the essential functions. While performing
the duties of this job, the employee is regularly required to talk and
hear. The employee frequently is required to stand; walk; sit; use hands
to type; and reach with hands and arms. The employee is occasionally
required to stoop, kneel, crouch and bend. The employee must
occasionally lift and/or move boxes up to 20 pounds. Specific vision
abilities required by this job include close vision, distance vision,
color vision, peripheral vision, depth perception and ability to adjust
focus. Essential Physical Requirements Codes: N = Never O = Occasional,
represents 1 to 33% or 1 to 2 hours of an 8 hour workday. F =
Frequently, represents 34 to 66% or 2 to 5 hours of an 8 hour workday. C
= Continuously, represents 67 to 100% or 6 to 8 hours of an 8 hour
workday. PHYSICAL ACTIVITY Walking: O Standing: O Sitting: C Reaching
Shoulder Height: O Reaching Above Shoulder Height: O Reaching Below
Shoulder Height: O Climbing: N Pulling 25 Pounds or Less: N Pulling 25
Pounds to 50 Pounds: N Pulling Over 50 Pounds: N Pushing 25 Pounds or
Less: N Pushing 25 to 50 Pounds: N Pushing Over 50 Pounds: N Lifting 25
Pounds or Less: N Lifting 25 Pounds to 50 Pounds: N Lifting Over 50
Pounds: N Carrying 25 Pounds or Less: N Carrying 25 Pounds to 50 Pounds:
N Carrying Over 50 Pounds: N Crawling/Kneeling: N Bending: O
Twisting/Turning: O Balance: N PHYSICAL EXPOSURE Unprotected Heights:
N/A Lighting Bright: YES Lighting Dim: N/A Mechanical Hazards: N/A
Hazardous Substance: N/A Infectious Diseases: N/A Harmful Physical
Agents (Heat/Cold): N/A Noise: N/A Ionizing/Non-Ionizing Radiation: N/A
ACCEPTED MINIMUM PHYSICAL ABILITY Vision: GOOD Color Vision: IMPAIRED
Hearing: MODERATE LOSS Manual Dexterity: GOOD Talking/Speech: FAIR
\*Note It is the Bone & Joint Clinic poli \*\*\*\*\* APPLICATION
INSTRUCTIONS: Apply Online:
https://bonejoint.applicantpro.com/jobs/3167090

Attn: Human Resources - WAUSAU BONE & JOINT
400 Westwood Dr
WAUSAU, WI 54401