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Title

Insurance Specialist 

Description

Job Description:

A highly motivated professional with knowledge and/or experience in medical office billing. Previous health care billing experience for physicians/outpatient services or claims processing for insurance companies is required. The ideal candidate will have medical or Multi-specialty billing experience, knowledge in payment posting, medical necessity requirements, coordination of benefits, refund processing, customer service, or claim appeals. Requires strong data entry skills and attention to detail.

Responsibilities:

  • Initiates timely collection and disposition of unpaid claims including all denials, appeals, and secondary coverage with the appropriate insurance carrier
  • Researches and resolves underpayments with insurance carrier as per billing contract
  • Contacting patients regarding balances, outstanding claims, and assisting with denials if necessary
  • Updating patient demographics by utilizing third party payer on-line resources to verify insurance benefits, coordination of benefits, check claim status, and file corrected claims directly with payer if required
  • Process all credit balances and refund requests to insurance companies and patients
  • Performs contractual adjustments with supporting documentation with administrative approval
  • Performs other duties or special projects as assigned by manager
  • Maintain confidentiality of all patient privacy and policy information
 
Position Requirements

Minimum Qualifications:

  • High School diploma or GED required
  • Associate degree in Medical Office Billing preferred
  • Minimum of two – three years of experience in relevant area a medical billing/collections
  • Proficient in Microsoft Office and Practice Management systems
  • Knowledge of medical coding, federal and carrier procedures and regulations
  • Strong analytical and problem solving skills
  • Ability to work effectively independently and multi-departments.
  • Excellent customer service, oral and written communication skills, organization, and attention to detail with limited supervision necessary
 
About the Organization  

This position is currently accepting applications.

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