Insurance Claims Specialist

4 days ago


Houma, Louisiana, United States Cardiovascular Institute of the South Full time
Job Summary

We are seeking a highly organized and detail-oriented Insurance Claims Specialist to join our team at the Cardiovascular Institute of the South. As a key member of our CIS Business Office, you will be responsible for managing insurance claims, maintaining accurate records, and providing exceptional customer service to our patients and healthcare providers.

Key Responsibilities
  • Process and manage insurance claims, ensuring timely and accurate reimbursement to patients and healthcare providers.
  • Maintain accurate and up-to-date records of claims, including documentation and follow-up correspondence.
  • Communicate effectively with patients, healthcare providers, and internal stakeholders to resolve claims-related issues.
  • Stay current on insurance regulations, coding guidelines, and industry developments to ensure compliance and optimal reimbursement.
  • Collaborate with the Insurance Claims Team Leader and Director of Business Services to achieve departmental goals and objectives.
Requirements
  • High school diploma or equivalent required; associate's or bachelor's degree in a related field preferred.
  • Excellent organizational and time management skills, with ability to prioritize multiple tasks and meet deadlines.
  • Strong communication and interpersonal skills, with ability to work effectively with diverse stakeholders.
  • Proficiency in computer systems and software, including Microsoft Office and claims management systems.
  • Experience with telephone collections and customer service preferred, but not required.


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