Insurance Claims Specialist

4 weeks ago


Gold Beach, Oregon, United States Curry Health Network Full time
Job Summary

At Curry Health Network, 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 timely billing and reimbursement of claims to insurance carriers. Your goal-oriented and revenue-driven approach will enable you to process claims efficiently, while maintaining a high level of accuracy.

Key Responsibilities
  • Compile and submit claims to insurance companies based on data provided by medical coders.
  • Complete account follow-up daily, maintaining established goals and notifying the business office supervisor of any issues preventing achievement of such goals.
  • Use reporting systems to follow up on inappropriately paid accounts, contacting payers, processing payer correspondence, rebilling, working denials, and conducting appeals to obtain the highest possible reimbursement and ensure patient satisfaction.
  • Comply with HIPAA privacy requirements for patient information and maintain confidentiality.
  • Collaborate with fellow employees, clients, and patients to provide excellent customer service.

Requirements
  • High School Diploma or general education degree (GED) required.
  • Medical Biller Certification or prior experience preferred.
  • Strong analytical and problem-solving skills, with the ability to maintain composure in difficult situations.
  • Excellent organizational and time management skills, with the ability to prioritize tasks effectively.
  • Proficient at reading, writing, and communicating in English, with bilingual skills a plus.

Work Environment
This role requires a moderate noise level and the ability to hear instructions. The typical work environment is a fast-paced office setting, with occasional exposure to outdoor weather conditions.

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