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Insurance Claims Specialist
2 months ago
At Arkansas Urology, we are seeking a highly skilled and detail-oriented Insurance Claims Specialist to join our team. As an Insurance Claims Specialist, you will play a critical role in ensuring that our patients receive timely and accurate insurance claims processing.
Key Responsibilities:- Insurance Claims Processing: Assist in processing all insurance claims, including reviewing and verifying claims, filing paper and electronic appeals on denied claims, and following up with insurance companies to ensure claims are paid.
- EOB Management: Pull EOBs (explanation of benefits) and work with patients to resolve any issues related to their insurance claims.
- Patient Financial Status Evaluation: Evaluate patient financial status and work with patients to resolve any billing issues.
- Claim Denial Management: Review and verify insurance claims, and file appeals on denied claims to ensure that patients receive the benefits they are entitled to.
- Insurance Company Communication: Communicate with insurance companies to resolve any issues related to claims processing and ensure that claims are paid in a timely manner.
- Claim Error Resolution: Work with patients to resolve any errors or discrepancies related to their insurance claims.
- Training and Development: Participate in educational activities to stay up-to-date on the latest insurance claims processing procedures and regulations.
To be successful in this role, you will need to have:
- A high school education or equivalent.
- A minimum of 3 years of experience in clinic-level billing, appeals, reconsideration, and denial claims processing.
- Knowledge of basic insurance information, medical billing/collection practices, basic medical coding, and third-party operating procedures and practices.
- Knowledge of basic medical terminology and the insurance industry.
We offer a competitive salary and benefits package to the right candidate. If you are a detail-oriented and organized individual with excellent communication skills, we encourage you to apply for this exciting opportunity.
