Insurance Denial Resolution Specialist

2 days ago


Indianapolis, Indiana, United States hopebridge Full time
Job Title: Insurance Denial Resolution Specialist

We are seeking a highly detail-oriented and organized Insurance Denial Resolution Specialist to join our Medical Billing team. As a key member of our team, you will investigate and resolve denied, unpaid, and underpaid insurance claims, ensuring accurate and timely resolution.

Responsibilities:
  • Research and resolve denied claims
  • File appeals as needed to resolve denials
  • Properly track and document all denial and appeal activity
  • Check insurance payments for accuracy
  • Conduct outbound calls to insurance to gather information for claims
  • Access payer online portals to resolve denials
  • Send medical records to insurance companies
  • Maintain all logs, account notes, and system records as assigned
  • Help identify issues from denials and appeals that might be avoided on future claims
Requirements:
  • High School Diploma or GED
  • Minimum of two years of related experience in denials
  • Knowledge of insurance guidelines, specifically commercial and Medicaid across states
  • Ability to manage multiple tasks simultaneously and respond to changing deadlines and priorities
  • Excellent organizational skills and attention to detail
  • Ability to operate a 10-key and computers
  • Intermediate knowledge of Microsoft Office, specifically Outlook, Word, and Excel
  • Possesses an initiative-taking, service-oriented attitude

Hopebridge is an equal-opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.



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