Insurance Specialist

4 weeks ago

Marietta, United States United Musculoskeletal Partners Full time

Job Summary: Insurance Specialist Under the direction of the Revenue Cycle Manager, the Insurance Specialist Duties and Responsibilities include the following. Work accounts in eClinicalWorks as assigned by Payor from the RCM. Post electronic remittance advice as required, work all incoming mail for your Insurance Carrier(s), responsible for follow up and appeal on all claims for your payor(s). Help cover peer’s calls in their absence along with any other duties that your manager assigns you.

Essential Duties:

  • Responsible for Insurance follow up and collections for the individual Insurance Payors you are assigned.

  • Post Electronic Remittance Advise as requested and appeal denied claims as necessary.

  • Follow up on outstanding claims to reduce days in AR.

  • Process incoming mail.

  • Closely monitor network bulletins for any changes that would affect this practice.

  • Must be willing to travel as needed to meet with Payors

  • Adheres to all safety policies and procedures in performing job duties and responsibilities while supporting a culture of high quality and great customer service.

  • Perform other duties as assigned.

Requirements

Education:

  • High School Diploma or GED equivalent required.

  • Basic course in medical terminology, medical billing and/or accounting preferred.

Experience:

  • Prefer one to three years experience in medical billing and collections office .

  • Must possess strong understanding to the local managed care environment, including, but not limited to, managed care policies and procedures, reimbursement mechanisms, and practice management/medical office procedures.

  • Some coding experience preferred.

  • Management and organizational skills to support the leadership of this function.

  • Detail Oriented, professional attitude, reliable.

  • Ability to demonstrate effective customer service techniques.

  • Knowledge of insurance industry and basic medical terminology/abbreviations preferred.

  • Ability to use office equipment (copier, fax, pc etc.) and automated systems/applications/software at an acceptable level of proficiency including medical billing spreadsheets, email and word processing software.

  • Ability to establish and maintain effective working relationships with patients, staff and the public.

  • Ability to act independently and know when to refer situations to higher level authority or collaboratively as part of a team.

  • Ability to use discretion with confidential data and sensitive information.

  • eClinicalWorks and Waystar (Navicure) experience preferred.

Company: Pinnacle Orthopaedics & Sports

Job Type: Full-time

Address: 300 Tower NE Rd, Marietta, GA, 30060

  • Production Underwriting Specialist

    1 week ago

    Marietta, United States Great American Insurance Company Full time

    The Excess Liability Division specializes in offering large limits of liability to protect its clients' corporate assets from catastrophic loss. The Division offers significant capacity of up to $25 million dollars for both Lead Umbrella and Excess Liability placements. This protection is made available to companies varying in size from single location...

  • Production Underwriting Specialist

    7 days ago

    Marietta, United States Great American Insurance Group Full time

    The Excess Liability Division specializes in offering large limits of liability to protect its clients' corporate assets from catastrophic loss.The Division offers significant capacity of up to $25 million dollars for both Lead Umbrella and Excess Liability placements. This protection is made available to companies varying in size from single location light...

  • Production Underwriting Specialist

    1 week ago

    Marietta, United States Great American Insurance Group Full time

    The Excess Liability Division specializes in offering large limits of liability to protect its clients' corporate assets from catastrophic loss.The Division offers significant capacity of up to $25 million dollars for both Lead Umbrella and Excess Liability placements. This protection is made available to companies varying in size from single location light...

  • Production Underwriting Specialist

    1 week ago

    Marietta, United States Great American Insurance Group Full time

    The Excess Liability Division specializes in offering large limits of liability to protect its clients' corporate assets from catastrophic loss.The Division offers significant capacity of up to $25 million dollars for both Lead Umbrella and Excess Liability placements. This protection is made available to companies varying in size from single location light...

  • Shop Specialist

    2 weeks ago

    Marietta, United States PIRTEK Alpharetta - Dobbins - Norcross Full time

    Benefits: Bonus based on performance Competitive salary Dental insurance Employee discounts Free food & snacks Free uniforms Health insurance Opportunity for advancement Paid time off Training & development Vision insurance PIRTEK, the nation’s leading provider for on-site hydraulic and industrial hose replacement, is hiring for the position of Counter...

  • Medican Insurance Verification Specialist

    1 week ago

    Marietta, United States Advanced Recruiting Partners Full time

    ESSENTIAL DUTIES AND RESPONSIBILITIES: Receive assigned insurance verification requests (IVR's) from data intake; call Health Plan to obtain benefit coverage levels and prior authorization requirements to determine payer reimbursement; submit required preauthorization/predetermination paperwork to payer Initiate contact with Health Plan and follow-up on...

  • Marketing Automation Specialist

    1 month ago

    Marietta, United States Serenity Healthcare, LLC Full time

    Job Description Job Description Marketing Automation Specialist Location: Sandy Springs, GA *Onsite* Welcome to Serenity Healthcare, where we are revolutionizing mental healthcare and transforming lives. As we continue our remarkable journey of growth, with a staggering 130+% year-over-year expansion for the past 5 years, we are on the lookout for an...

  • Insurance Pre-Cert Specialist/Pre-Authorization Rehab

    1 month ago

    Marietta, United States Pinnacle Orthopaedics Full time

    Job DescriptionJob DescriptionDescription:Regular Job Functions· Contacts insurance company to obtain insurance verification and pre-certification for physical/occupational therapy patients· Enters benefit information and pre-certification authorization into guarantor notes in eCW· Faxes orders, patient demographics, and insurance information to hospital...

  • Insurance Pre-Cert Specialist/Pre-Authorization Rehab

    4 weeks ago

    Marietta, United States Resurgens Orthopaedics Full time

    Job Type Full-time Description Regular Job Functions • Contacts insurance company to obtain insurance verification and pre-certification for physical/occupational therapy patients • Enters benefit information and pre-certification authorization into guarantor notes in eCW • Faxes orders, patient demographics, and insurance information to hospital or...

  • Field Clinical Specialist- TAVR

    4 days ago

    Marietta, United States Mirus LLC Full time

    Job DescriptionJob DescriptionAs a Field Clinical Specialist, you are a critical part of the TAVR field team that works closely with heart centers, physicians, and hospital staff to provide clinical support for MiRus’ TAVR procedures. As the clinical expert, you have deep product knowledge and a clear understanding of heart pathophysiology and aortic...

  • Field Clinical Specialist- TAVR

    3 hours ago

    Marietta, United States Mirus LLC Full time

    Job DescriptionJob DescriptionAs a Field Clinical Specialist, you are a critical part of the TAVR field team that works closely with heart centers, physicians, and hospital staff to provide clinical support for MiRus’ TAVR procedures. As the clinical expert, you have deep product knowledge and a clear understanding of heart pathophysiology and aortic...

  • Marketing Automation Specialist

    2 weeks ago

    Marietta, United States Serenity Healthcare, LLC Full time

    Marketing Automation Specialist Location: Sandy Springs, GA *Onsite*  Welcome to Serenity Healthcare, where we are revolutionizing mental healthcare and transforming lives. As we continue our remarkable journey of growth, with a staggering 130+% year-over-year expansion for the past 5 years, we are on the lookout for an exceptional Marketing Automation...

  • Marketing Automation Specialist

    2 months ago

    Marietta, United States Serenity Healthcare Full time

    Job DescriptionJob DescriptionMarketing Automation SpecialistLocation: Sandy Springs, GA *Onsite* Welcome to Serenity Healthcare, where we are revolutionizing mental healthcare and transforming lives. As we continue our remarkable journey of growth, with a staggering 130+% year-over-year expansion for the past 5 years, we are on the lookout for an...

  • Marketing Automation Specialist

    2 months ago

    Marietta, United States Serenity Healthcare Full time

    Job DescriptionJob DescriptionMarketing Automation SpecialistLocation: Sandy Springs, GA *Onsite* Welcome to Serenity Healthcare, where we are revolutionizing mental healthcare and transforming lives. As we continue our remarkable journey of growth, with a staggering 130+% year-over-year expansion for the past 5 years, we are on the lookout for an...

  • Bdc Customer Care Specialist

    7 days ago

    Marietta, United States Pugmire Ford of Cartersville Full time

    **Job Summary: Business Development Center Customer Care Specialist** *Spanish speaker preferred* **Required Schedule**: Monday - Friday, 9am-6pm, with only one Saturday required per month **Closed on Sundays** **Benefits**: - **Retirement Plan**: 401(k) eligibility after one year of employment - **Insurance**: Comprehensive health and dental insurance...

  • Retail & Showroom Sales Specialist

    2 weeks ago

    Marietta, United States HGH Hardware Full time

    >> Retail & Showroom Sales Specialist Retail & Showroom Sales Specialist Summary Title:Retail & Showroom Sales SpecialistID:2033Department:SalesLocation:Marietta, GADescription **HGH Hardware Supply** is a hardware and paint store, and so much more. This is the ideal role for a **Retail/Showroom Sales Specialist** who truly cares about providing outstanding...

  • Inspector Service Specialist

    1 week ago

    Marietta, United States Gilstrap Exterminating Full time

    Job DescriptionJob DescriptionSalary: Qualifications No experience requiredValid Driver's License Ability to obtain pesticide license/registration US work authorization High school or equivalent  Benefits Health InsuranceDental InsuranceVision InsurancePaid Training Paid Time Off Opportunities for advancementIssued company vehicle Full Job...

  • Intake and Authorization Specialist

    7 days ago

    Marietta, United States AccordCare, LLC Full time

    AccordCare and our family of brands is a premier in-home personal care company providing services to people of all ages and levels of need. A better quality of care comes from exceptional caregivers and AccordCare only hires the best! AccordCare is an employee-friendly company. We focus on our employees to ensure they have a healthy work and life balance....

  • Specialist, Customer Care

    6 days ago

    Marietta, United States XPO Logistics Full time

    **Specialist, Customer Care** **Location:** Marietta, GA, US, 30062 **Solutions driven success.** XPO is a top ten global provider of transportation services, with a highly integrated network of people, technology and physical assets. At XPO Logistics, we look for employees who like a challenge and can communicate effectively in all situations. We want to...

  • Accounts Receivable Specialist

    1 week ago

    Marietta, United States Mirus LLC Full time

    Job DescriptionJob DescriptionJob Title: Accounts Receivable SpecialistDepartment: Accounting/FinanceReports to: Accounting ManagerQualificationsBilling/Accounts Receivable/Collections: 3 years (Required)Accounting/Bookkeeping: 3 years (Preferred)ERP System Knowledge: (Required)Prior NetSuite experience (Preferred)Bachelor’s Degree in accounting:...