Outstanding Insurance Specialist

The Remote Outstanding Insurance Specialist is a critical role responsible for effectively and efficiently managing the accounts receivable process for an assigned group of payors or supported region/company. This is an in office position!

Responsibilities

• Ensures claims are processed accurately to secure timely payment.

• Responds to inquiries, questions, and concerns from patients regarding the status of claims in a clear, concise, and courteous manner.

• Conducts follow-up and submits reimbursement appeals for unpaid and/or inappropriately paid claims; ensures appropriate documentation of billing, follow-up, collection, and appeal efforts are recorded on accounts.

• Identifies, researches, and ensures timely processing of billing errors and corrections as they relate to claims; actively participates in problem identification and resolution and coordinates resolutions between appropriate parties.

Qualifications

• Associate's degree (A. A.) or equivalent from an accredited college, university or technical school; or three to five years related experience and/or training; or equivalent combination of education and experience. • Previous high-volume collections experience with PPO’s, Worker' Comp, Medicare and Medicaid strongly preferred • Working knowledge of CPT and ICD-10 codes • Previous experience and demonstrated ability to thrive in a production-driven environment • Excellent time management & multi-tasking skills • Proficiency with Microsoft Outlook suite of products; demonstrated aptitude for learning new software programs • Superior verbal and written communication skills