Insurance Claims Specialist

7 days ago


Tacoma, Washington, United States Prosperity Wellness Center Full time

Key Responsibilities:

As a Collections and Insurance Specialist at Prosperity Wellness Center, you will be responsible for effective communication and coordination with insurance companies and clients to obtain the maximum benefits for our clients.

Key Tasks:

  • Establish relationships with insurance carriers and obtain accurate, detailed insurance benefit information by phone and via the internet.
  • Review data on insurance policies to ensure accurate claim processing and payment.
  • Accurately utilize the billing system.
  • Create and submit claims if needed.
  • Ensure corrected claims are submitted in a timely manner if needed.
  • Follow-up with claims on a weekly basis, ensuring claims are received in a timely manner.
  • Prepare materials for submission to insurance companies as requested.
  • Ensure unprocessed claims are followed up on timely.
  • Contact clients to collect on outstanding account balances.

Requirements:

  • 1-year minimum healthcare experience with billing or insurance verification required.
  • Basic understanding of insurance terminology (out-of-network benefits vs. in-network benefits, as well as coinsurance, co-pays, and deductibles), in addition to general billing practices.
  • Knowledge of SUD, IOP, and Mental Health programs.
  • Knowledge and experience with EMR and billing software programs required.
  • Knowledge and experience with Medics software a plus.

About Us:

Prosperity Wellness Center seeks to build a diverse staff that is reflective of the patients we serve and the communities where we work.



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