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Insurance Claims Specialist

2 months ago


Chattanooga Tennessee, United States CommonSpirit Health Full time
{"title": "Insurance Follow Up Specialist", "content": "Overview

At CommonSpirit Health, we are proud to be the regional referral center of choice, providing healthcare throughout Southeast Tennessee and North Georgia. We offer a comprehensive benefits package to support you and your family, including on-site childcare, employee assistance programs, and tuition assistance for career growth and development.

Responsibilities
  • Follow up with insurance payers to research and resolve unpaid insurance accounts receivable, ensuring accurate reimbursement for all FMG providers.
  • Identify potential trends in denials/reimbursement by payer or by type, denial reason, or coding issue and report to supervisory staff for escalation.
  • Document all activities and findings in accordance with established policies and procedures, maintaining confidentiality of medical records.
  • Maintain current knowledge of internal, industry, and government regulations applicable to assigned function.
  • Establish and maintain professional relationships with peers and other stakeholders.
Qualifications
  • High School Diploma or GED equivalent.
  • Knowledge of insurance follow up process, clinic operations, general office principles, medical insurance, payer contract, and basic medical terminology and abbreviations.
  • Excellent customer service, attention to detail, and ability to maintain confidentiality of medical records.

We are committed to providing a supportive and inclusive work environment that fosters growth and development. If you are a detail-oriented and customer-focused individual with a passion for healthcare, we encourage you to apply for this exciting opportunity.

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