Tanner Health System-posted 4 months ago
Full-time • Entry Level
Carrollton, GA
Hospitals

The Insurance Accounts Research Specialist is responsible for the day-to-day follow-up of Medicare, Medicare Advantage plans, Medicaid, CMOs, and commercial insurance claims. This role includes reviewing aging reports to identify and resolve problem areas, working on all rejections and denials accurately and efficiently. The specialist must prioritize work, formulate a plan of action, analyze results, and communicate trends and billing coding issues effectively.

  • Follow up on Medicare, Medicare Advantage plans, Medicaid, CMOs, and commercial insurance claims.
  • Review aging reports to identify and resolve problem areas.
  • Work on rejections and denials accurately and efficiently.
  • Prioritize workload and formulate a plan of action.
  • Analyze results and communicate trends and billing coding issues.
  • High School Diploma or GED.
  • Two years of related experience in insurance and patient billing.
  • Working knowledge of specialized practices, equipment, and procedures.
  • Ability to meticulously organize, analyze, and prioritize workload.
  • Ability to communicate issues to CBO management and offer resolutions.
  • Exceptional verbal and written communication skills.
  • Comprehension of working and analyzing AR to resolve claim denials timely.
  • Knowledge of CPT & ICD Coding and medical terminology.
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