Insurance Specialist

3 weeks ago

Wausau, United States Bone and Joint Center, S.C. Full time
Job DescriptionJob DescriptionThe Insurance Specialist is responsible for providing support in the functional areas of Revenue Cycle which includes claims, billing, reimbursement and insurance recovery. They also ensure adherence to company policies, procedures, and related government regulations.ABOUT BONE & JOINTBone & Joint is a physician owned practice with a great team of orthopedic and PM&R providers. We currently have offices in Rib Mountain, Wausau, Merrill, Medford, and Plover to service much of central Wisconsin. Bone & Joint strives to be the best place for patients to receive care, the best place for providers to practice, and the best place for employees to work.A DAY IN THE LIFE OF A INSURANCE SPECIALIST A day in the life of an Insurance Specialist in an orthopedic organization involves reviewing and processing insurance claims, identifying reasons for claim denials, and appealing denied claims. They work closely with healthcare providers to ensure accurate billing. The specialist may also handle billing inquiries, communicate with insurance companies, and update patient records along to resolve billing discrepancies and ensure timely payments. In addition, they will spend time answering patient phone calls related to their account status. This role requires attention to detail, knowledge of medical billing codes, and excellent organizational skills to navigate the complexities of insurance reimbursement in the orthopedic field.QUALIFICATIONS FOR AN INSURANCE SPECIALIST
  • High school diploma or equivalent
  • One or more years' medical billing and/or insurance experience
  • One or more years' experience balancing accounts and handling payments
  • Ability to make sound judgments according to procedures or acceptable recommendations for exceptions when needed
  • Current knowledge of insurance reimbursement structure
  • Excellent interpersonal skills to build effective partnering relationships with internal departments
  • Excellent communications skills both written and verbal
  • Ability to work on variety of projects accurately and within timelines
  • Microsoft Excel and Word experience
  • Valid Driver's License
WORK SCHEDULE Workdays of an Insurance Specialist are Monday through Friday 8:00AM to 5:00PM with an hour lunch, or 8:00AM to 4:30PM with a 30-minute lunch. Additional flexibility may be offered after the probation period and based on business needs.READY TO JOIN OUR TEAM?If you think you have what it takes to do this job, then the next step is to fill out our online application. Don't worry, the application is pretty simple as it asks for your resume and to answer some questions to help us get to know you better. We should warn you though, if you are selected to move forward in the hiring process, we will require that you provide us with further details to help us further understand your interest.

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