Insurance Specialist

Responsibilities

• Manage and perform efficient and effective Accounts Receivable functions for multiple facilities.
• Accurately and timely review, collect, and follow-up on all assigned billed insurance claims.
• Maintain individual and departmental goals for discharged and final billed accounts/claims for AR Aging, AR Days, Cash Collections, etc.
• Research and work assigned claims in a billed and unpaid status.
• Meet individual and departmental productivity goals.
• Respond to and work with other DCH departments (Patient Access, Case Management, Medical Records, etc.).
• Maintain professionalism and customer service on all interactions.
• Make recommendations to improve processes.
• Comply with DCH Standards and policies.
• Perform compliance requirements as outlined in the Employee Handbook.
• Adhere to DCH Behavioral Standards.
• Use electronic mail, time and attendance software, learning management software, and intranet.
• Perform other duties as assigned.

  Qualifications

  • High School education or equivalent.
  • One year or more of related experience in a Healthcare Business Office preferred.
  • Knowledge of insurance types related to claims billing and follow-up such as governmental, HMO, PPO, Commercial, etc.
  • Knowledge of federal, state, hospital, and departmental rules and regulations for compliant Healthcare claims filing and reimbursement preferred.
  • Proficient in personal computer skills.
  • Very good interpersonal/communication skills, customer service skills, and history of good attendance required.
  • Ability to read, write legibly, speak, and comprehend English.