Insurance Specialist
3 weeks ago
Confluence Health is seeking a skilled Insurance Specialist to join our team. As an Insurance Specialist, you will be responsible for processing accurate and timely billings to insurance carriers and ensuring correct payment is received from them in a timely fashion.
Key Responsibilities:
Process secondary or tertiary claims as needed by accurately attaching the appropriate primary EOB prior to submission.
Accurately codes insurance information on coverage records in Revenue Cycle system within 24 hours of receipt. When necessary, verifies information via various electronic means.
Maintains workqueues generated by electronic submission of claims, correcting errors and reprocessing claims as needed.
Provides follow-up of unpaid (or incorrectly paid) claims as dictated by department policy.
Submits corrected claims as needed and processes appeals for incorrectly denied claims.
Requirements:
High school diploma or GED.
Proficient in the performance of basic math functions.
Possesses basic computer (e.g., spreadsheets, word processing) skills.
Must be a team player.
Maintains a positive, resourceful attitude toward achieving overall department and clinic goals.
Preferred Qualifications:
Knowledge of ICD-10, CPT coding, medical terminology, and medical insurance billing.
Working Conditions:
This position is located in a normal office environment which consists of sitting at a desk for long periods of time, talking on the telephone, or working on computers and paperwork. This environment also consists of working in close proximity to co-workers.
Physical Exposures:
This position does not involve any physical exposures such as unprotected heights, heat, cold, mechanical hazards, hazardous substances, blood borne pathogens exposure potential, lighting, noise, ionizing/non-ionizing radiation, or infectious diseases.
Job Classification:
This position is classified as Non-Exempt and is paid on an hourly basis.
Equal Employment Opportunity:
Confluence Health is an equal employment opportunity employer and welcomes applications from diverse candidates. We are committed to creating an inclusive work environment that values diversity, equity, and inclusion.
How to Apply:
Interested candidates should submit their application, including a cover letter and resume, to [insert contact information].
Confluence Health:
Confluence Health is a healthcare organization that provides a wide range of medical services to patients in the region. We are committed to delivering high-quality patient care and improving the health and well-being of our community.
Benefits:
Confluence Health offers a comprehensive benefits package to its employees, including medical, dental, and vision insurance, flexible spending accounts, health savings accounts, and a 401(k) retirement plan.
Why Work for Confluence Health:
Working for Confluence Health offers a unique opportunity to make a difference in the lives of our patients and contribute to the growth and development of our organization. We offer a dynamic and supportive work environment, opportunities for professional growth and development, and a competitive compensation and benefits package.
Apply Now:
Don't miss out on this opportunity to join our team. Apply now to become an Insurance Specialist at Confluence Health.
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