Insurance Claims Specialist

3 days ago


San Antonio, Texas, United States University Health Full time

About the Role:

We are seeking a skilled Insurance Claims Specialist to join our team at University Health. As an Insurance Claims Specialist, you will be responsible for reviewing accounts to ensure accurate reimbursement. Your primary focus will be on identifying payor issues affecting payment delays and following up with Managed Care to secure timely payments.

Key Responsibilities:

  • Review accounts for accuracy and completeness
  • Identify payor issues affecting payment delays
  • FOLLOW UP with Managed Care to resolve payment issues
  • Contact patients and third-party payor organizations to secure payment or arrange alternative payment plans
  • Independently interact with federal, state, third-party payors, agencies, physicians, departmental directors, and outside related vendors

Requirements:

To be successful in this role, you must have at least 1 year of hospital experience dealing with insurance companies, preferably 3 years. Knowledge of payor guidelines and contracts is required. Experience in appeals with third-party payors resulting in reimbursement is a plus. You must also have working knowledge of computer, calculator, and general office equipment. On-line Medicare/Medicaid and Commercial verification is preferred.

Estimated Salary: $45,000 - $60,000 per annum



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