Outstanding Insurance Specialist

4 weeks ago

Southport, United States Riccobene Associates Family Dentistry Full time
The Remote Outstanding Insurance Specialist is a critical role responsible for effectively and efficiently managing the accounts receivable process for an assigned group of payors or supported region/company. This is an in office position

Responsibilities

  • Ensures claims are processed accurately to secure timely payment
  • Responds to inquiries, questions, and concerns from patients regarding the status of claims in a clear, concise, and courteous manner
  • Conducts follow-up and submits reimbursement appeals for unpaid and/or inappropriately paid claims; ensures appropriate documentation of billing, follow-up, collection, and appeal efforts are recorded on accounts
  • Identifies, researches, and ensures timely processing of billing errors and corrections as they relate to claims; actively participates in problem identification and resolution and coordinates resolutions between appropriate parties

Qualifications

  • Associate's degree (A. A.) or equivalent from an accredited college, university or technical school; or three to five years related experience and/or training; or equivalent combination of education and experience
  • Previous high-volume collections experience with PPO's, Worker' Comp, Medicare and Medicaid strongly preferred
  • Working knowledge of CPT and ICD-10 codes
  • Previous experience and demonstrated ability to thrive in a production-driven environment
  • Excellent time management & multi-tasking skills
  • Proficiency with Microsoft Outlook suite of products; demonstrated aptitude for learning new software programs
  • Superior verbal and written communication skills

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