Insurance Specialist I - Corporate Patient AR Management - Full Time

About the role

As an Insurance Specialist I, you'll gain valuable industry knowledge while helping patients and care teams navigate the complexities of insurance and healthcare coverage.

Responsibilities

• Works pre-AR edits, paper claims, reports and work queues as assigned to ensure accurate and timely claim submission to individual payers.
• Works closely with a Denial Resolution Specialist or Billing Specialist II mentor to cross train on various payers and tasks to expand insurance billing knowledge and skills.
• Follows up on rejected and/or non-responded claims as assigned. Utilizes internal rejection protocols, coding knowledge, reimbursement policies, payer guidelines and other sources in order to research rejections to secure appropriate payment.
• Prompts reports payer, system or billing issues.
• Utilizes Epic system functions accurately to perform assigned tasks. Ex: charge corrections, invoice inquiry, billing edits, insurance eligibility.
• Exports and prepares spreadsheets, manipulating data fields for project work.
• Identifies and provides appropriate follow up for claims that require correction or appeal.
• Provides timely resolution of credit balance as identified and/or assigned. Documents support on request forms and performs adjustments within policy guidelines.

Requirements

• High school diploma required; CPC, CCA, RHIA, RHIT certification in medical billing and coding or Associates degree preferred.
• Strong organizational and customer service skills a must.
• Experience with office software such as Word and Excel required.
• Previous experience performing in a high volume and fast paced environment.

Qualifications

• Education: High school diploma required; CPC, CCA, RHIA, RHIT certification in medical billing and coding or Associates degree preferred.
• Experience: Strong organizational and customer service skills a must. Experience with office software such as Word and Excel required. Previous experience performing in a high volume and fast paced environment.

Skills

• Strong organizational and customer service skills.
• Experience with office software such as Word and Excel.
• Previous experience performing in a high volume and fast paced environment.

Benefits

• Voluntary 403(b) Retirement Plan – Plan for your future with Fidelity investment options.
• Employee Assistance Program – Confidential support for personal and professional well-being.
• PTO starts Day 1.
• Friendly, Inclusive Work Family – Be part of a team that feels like home.

Pay

Details about pay are not specified in this posting.

Schedule & Coverage

• Full Time, Day Shift Position.