Insurance Claims Specialist

2 days ago


Knoxville, Tennessee, United States Prestige Staffing Full time
Job Summary

Prestige Staffing is seeking a highly detail-oriented and organized Insurance Claims Specialist to join our team. As an Insurance Claims Specialist, you will be responsible for reviewing patient accounts, resolving claim denials, and ensuring compliance with payer rules and regulations.

Key Responsibilities
  • Review patient accounts for resolution and check status with insurance companies for billed claims that have not processed.
  • Identify and resolve root causes of claim denials and determine the best course of action for proper resolution.
  • Stay up-to-date on payer rules, state, and federal guidelines to ensure compliance.
  • Prioritize and complete work according to departmental productivity and quality standards.
  • Facilitate communication between insurance companies and patients to resolve issues holding up claims processing.
  • Collaborate with departments to correct issues with billed claims and ensure correct billing and proper claim processing.
Requirements
  • Strong problem-solving and verbal-written communication skills.
  • Excellent time management and organizational skills.
  • Ability to learn and understand payer rules and regulations.
  • Proficiency in using verbal, nonverbal, and written communication skills to deal with patients, public, coworkers, physicians, facilities, agencies, and other facility personnel.
  • Ability to perform specific functions relating to collection of patient accounts.
  • Ability to consult and work collaboratively with supervisors, coworkers, department managers, and other facility personnel.
What We Offer
  • A dynamic and supportive work environment.
  • Opportunities for professional growth and development.
  • A competitive salary and benefits package.


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