Insurance Claims Specialist
2 weeks ago
At Premier Medical Group, we are seeking a highly organized and detail-oriented Insurance Claims Specialist to join our team. As an Insurance Claims Specialist, you will be responsible for collecting and resolving outstanding third-party receivables, meeting productivity standards related to cash collections, aging of accounts, timely follow-up, and account resolution.
Key Responsibilities:
Extensive insurance follow-up for various insurance plans
Working denials, submitting appeals, and corrected claims
Thorough knowledge and understanding of insurance plan policy updates, including authorization and medical necessity requirements
Insurance refund processing
Answering phone calls and patient and staff questions for particular insurance plans
Setting up users for insurance portals
Overall awareness of specified insurance plans account receivable issues
Requirements:
Minimum of a High School diploma
2 to 4 years of relevant experience, preferably in a healthcare environment
Strong organizational skills
Computer proficiency
Strong customer service, verbal, and written communication skills
Comprehensive knowledge of insurance plans, member eligibility, and medical billing
Ability to work independently and collaboratively on assigned tasks and projects
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Poughkeepsie, New York, United States Marshall & Sterling Inc Full time{"title": "Sales and Service Representative", "subtitle": "Join Marshall & Sterling Inc. as a Sales and Service Representative and take on a challenging role in our Poughkeepsie Group Benefits Office.", "content": "We are seeking a highly motivated and results-driven Sales and Service Representative to join our team. As a Sales and Service Representative,...