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Insurance Claims Specialist
2 months ago
Job Summary
The Insurance Review Specialist will work under the supervision of the insurance review team to ensure timely submission and acceptance of claims. This role involves interacting with patients, insurance carriers, and system staff to resolve claims and accounts receivable balance issues.
Key Responsibilities
- Follow-up on outstanding claims and perform denial management, claim appeals, and retro-adjudication.
- Pursue accounts receivable balance resolution, statement processing, self-pay follow-up, and bad debt processes.
- Utilize Microsoft office applications, perform internet navigation and research, and have prior experience using a computerized health information system.
- Interact with patients, family members, physicians, and other hospital associates to resolve claims and balance issues.
Requirements
- High School graduate (or GED equivalent).
- 1-2 years insurance or medical billing experience preferred; Physician practice setting strongly preferred.
- Comprehension of government and third party billing regulations required.
- Ability to multi-task efficiently and effectively.
- Excellent attitude, interpersonal skills, and communication abilities necessary.
About Powers Health
Powers Health is a healthcare organization dedicated to providing high-quality medical services to our patients. We are committed to excellence in patient care and strive to create a positive and supportive work environment for our staff.
