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Insurance Claims Investigator

4 weeks ago

Springfield, Illinois, United States CoxHealth Full time

About the Role

CoxHealth is seeking a skilled Insurance Claims Investigator to join our team. As an Insurance Claims Investigator, you will be responsible for investigating unpaid claims for physician charges, reviewing coding and medical necessity denials, and processing corrections to re-file for payment. You will also contact insurance companies to follow up on denied claims and work to process claims within the expected time frame.

Key Responsibilities

  • Investigate unpaid claims for physician charges
  • Review coding and medical necessity denials
  • Process corrections to re-file for payment
  • Contact insurance companies to follow up on denied claims
  • Process claims within the expected time frame

Requirements

  • High School Diploma or Equivalent
  • Experience in medical billing & claims processing knowledge; familiar with the insurance industry and collection process
  • Excellent verbal and written communication skills
  • Able to work independently and collaboratively in teams
  • Self starter
  • Proficient in using computers and computer systems
  • Ability to multi-task and have attention to detail

About CoxHealth

CoxHealth is a leading healthcare provider in the region, known for its best-in-class work environment and commitment to excellence. As a CoxHealth employee, you will have access to a robust benefits package, including medical, vision, and dental insurance, as well as opportunities for professional growth and development.