Insurance Claims Specialist

3 weeks ago


Reno, Nevada, United States Clerical Administrative Support Full time

Job Summary

This position is accountable for the timely and accurate submission of Renown healthcare claims, ensuring maximum reimbursement for services rendered to maintain a consistent cash flow.

Key Responsibilities

  • Accuracy and completeness of patient accounts for billing and follow-up of healthcare claims to ensure timely claim adjudication in accordance with Renown policies and healthcare payor rules and regulations.
  • Review, evaluation, and submission of additional documentation to payors that do not accept electronic claims or require special handling.
  • Conducts prompt follow-up with insurance companies by phone or reviewing online payor portals, performing necessary follow-up action to obtain payment.
  • Documenting the patient account and completing inquiries from patients, insurance companies, internal departments, attorneys, and 3rd party payers in a timely manner while providing excellent customer service.
  • Assisting with review and resolution of denials, credit balances, or underpayments as assigned.

Requirements

  • Must have working-level knowledge of the English language, including reading, writing, and speaking English.
  • Must have a minimum of six months applicable computer application experience in a business setting. Previous healthcare experience is preferred.

Disclaimer

The foregoing description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills, and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.



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