Insurance Claims Specialist

4 weeks ago


Poughkeepsie, New York, United States Premier Medical Group Full time
Job Title: Insurance Claims Specialist

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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