Insurance Denial Specialist

1 month ago


Indianapolis, United States hopebridge Full time
Job DescriptionJob DescriptionYou have experience accessing health insurance portals, researching insurance claims, and tracking activity.  As an Insurance Denial Specialist, you will investigate insurance denials of behavioral health and medical services provided. You will be an integral part of our Revenue Cycle team, directly impacting the entire organization by ensuring claims are disputed, appealed, and refiled accurately and timely. 

Benefits and Perks
  • Monday through Friday schedule
  • Starting rate of $23.00 per hour (depending on experience)
  • 18 days of PTO (11 days of Paid Time Off and 7 Paid Holidays)
  • Health, Vision, and Dental Insurance
  • Short and Long-Term Disability Insurance
  • 401K with company match
Location
  • Hopebridge Headquarters; 3500 DePauw Blvd., Indianapolis, Indiana 46268 

ResponsibilitiesRole Overview
  • Researching and resolving denied, unpaid, and underpaid insurance claims
  • File appeals as needed to resolve denials, collaborate with payers and monitor appeals in the process
  • Properly track and document all denial and appeal activity
  • Check insurance payments for accuracy
  • Conduct outbound calls to insurance to gather information for claims
  • Access payer online portals to resolve denials
  • Send medical records to insurance companies
  • Maintain all logs, account notes, and system records as assigned
  • Help identify issues from denials and appeals that might be avoided on future claims
  • Maintain working knowledge of all payer guidelines and requirements as they relate to denials and appeals
Required SkillsProfile of an Ideal Candidate
  • High school diploma or equivalent required 
  • At least 2 years of experience in insurance denials required (successful candidates have come from similar backgrounds such as billing assistants, claims processors, and similar titles) 
  • Knowledge of insurance guidelines, specifically commercials and Medicaid, across states preferred  
  • Ability to multitask effectively and respond to changing deadlines and priorities  
  • Excellent attention to detail and organizational skills 
  • Ability to operate standard office equipment such as a desktop, laptop, 10-key, and phone  
  • Intermediate knowledge of Microsoft Office, specifically Outlook, Word, and Excel 
Hopebridge is an equal-opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
Together, we will be a beacon of hope and trusted guides in our community Ready to embark on this journey? Apply now

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