03/30/2021
If you are looking for a fast-paced environment where you can strive to make a difference in the lives of patients every day, then this is the opportunity for you! The Total Woman Boutique is committed to providing compassionate professional customer service and education to women undergoing treatment, someone in need of a wig, and men and women needing compression garments.
We are searching for a billing/insurance/medical office clerk. We need someone who can thrive in a fast-paced environment. We need a quick thinker who can multi-task, who has a vibrant friendly personality and awesome communication skills.
Duties and Responsibilities:
1. Answer phones and answer any questions potential clients may have and/or set appointments on the calendar for them to come in for a fitting or pickup.
2. Advise and educate patients on what products are available to them through their insurance company and how often they are allowed.
3. Sort through and work incoming faxes.
4. Receive and work through insurance reports using CortexEDI and other insurance web portals.
5. Check patient benefits for product coverage, limitations, and exclusions.
6. Keep up with/update/enroll in all provider contracts with medical insurance companies.
7. Update shop forms when protocol changes.
8. Complete the required documentation with attention to detail.
9. Bill medical transactions to insurance companies using CortexEDI.
10. Generate monthly reports of insurance sales, billed claims, and insurance payments.
11. Keep a record of payment postings and store EOBs in an orderly manner.
12. Work in cooperation with physician offices and insurance companies to prove medical necessity.
13. Ensure that all areas of the business run smoothly and effectively by assisting coworkers with insurance questions.
14. Participate in PR and Marketing strategies to promote and enhance awareness and knowledge within the community, helping the business achieve the goals necessary to build a successful appearance of the business.
15. Participates in education programs to stay current on insurance and accreditation protocol.
16. Demonstrates accuracy in all aspects of our point-of-sale system (QuickBooks experience a plus) including ringing transactions, daily register reconciliation, and minor bookkeeping including posting insurance payments and patient payments to patient accounts.
17. Be proficient in Microsoft Office software (these are commonly used for daily operations).
18. Help with Year-end Inventory
19. Attend Trade shows, Health Fairs, Other promotional functions when necessary
20. Able to perform opening and closing when necessary
21. Available to work every other Saturday.
Qualifications & Skills:
Medical office experience is a plus.
Self-Starter/Independent thinker, Time Management, Love of patients and interaction with patients, Enthusiastic and Motivated; Good Retail skills, Compassionate/Dependable/Good Listening skills, Works to secure Patient/Customer satisfaction, Polished, professional in Appearance, Legal Compliance, Quality Focus, Productivity, Organization, Attention to Detail, Documentation Skills, Analyzing Information, General Math Skills, Conflict Resolution.
Due to the nature of our business and our customers with compromised immune systems, we require a mask at this time.
