Insurance Specialist I
New
I
Inland ImagingMedical billing
United States, Training hours are 8am-5pm Monday-Friday PST. Hours may vary after training.Full-TimeEntry
Salary20.43 - 30.65 USD per hour
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Job Details
- Experience
- Two years medical billing course is desired
- Required Skills
- Microsoft ExcelWorkday
Requirements
- High school diploma or GED required.
- Two years of medical billing coursework desired.
- Patient accounts billing experience desired.
- Working knowledge of Medinformatix or another patient accounting system preferred.
- CPT and ICD-10 coding experience preferred.
- Good customer service skills.
- Experience with Microsoft Office products, including Outlook, Word, and Excel, is highly desired.
- Experience with Workday, Internet, Intranet, Meditech, Code Correct, Medinformatix, and Waystar is highly desired.
- Must maintain strict confidentiality and follow HIPAA, PHI, and company security policies.
- Must pass the required background check and, if eligible, a post-offer, pre-employment drug test.
- Attendance is required, including quarterly quality assurance meetings.
Responsibilities
- Review unpaid claims, check payment status, appeal denials, and correct and resubmit claims when needed.
- Follow up with insurance companies on unpaid or incorrectly paid services.
- Help patients understand insurance billing and address collection questions when the Collections Specialist is unavailable.
- Resolve claim edits before submission and correct posting discrepancies based on payer adjudication advice.
- Research unposted payments, credit balances, and payer issues; process appropriate refunds and write off uncollectible balances within the stated limit.
- Track and monitor denials, identify payer trends, and establish plans to resolve systemic issues.
- Work with vendors, credentialing liaisons, referring physician offices, and clients to address payer, enrollment, authorization, referral, and group-billing issues.
- Attend policy and quality assurance meetings, perform peer-to-peer QA, and support patient eligibility status requests.
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