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Insurance Claims Specialist

2 months ago


Hattiesburg, Mississippi, United States Hattiesburg Clinic Full time
Job Summary:

The Insurance Specialist at Hattiesburg Clinic is responsible for completing follow-up on denials and no response claims. This role requires a strong knowledge base of CPT and medical diagnosis coding, as well as excellent oral and written communication skills.

Key Responsibilities:

• Conduct thorough research and analysis of denied claims to identify root causes and develop effective resolution strategies.
• Collaborate with internal stakeholders to resolve claims and improve overall claims processing efficiency.
• Develop and maintain a solid understanding of payor policies and procedures to ensure accurate and timely claims processing.

Requirements:

• High school diploma or equivalent required; previous experience working multiple payors, including BCBS, UHC, Medicare, and Medicaid denials and appeals, preferred.
• Strong knowledge base of CPT and medical diagnosis coding required.
• Excellent oral and written communication skills required.
• Ability to work independently and as part of a team.

Work Schedule:

Monday - Friday, 8:00A.M. - 5:00P.M.

Pay Type:

Hourly.

Apply Now:

Apply through our website or contact our HR department for more information.