Insurance AR Specialist ASC

OrthoIllinoisRockford, IL
Onsite

About The Position

The Insurance A/R Specialist performs insurance follow up, online claim submissions, records uploading and appeals for all facility claims.

Requirements

  • High School Diploma or GED
  • A minimum of one year of experience in a similar position and/or performing similar tasks
  • Working knowledge of Microsoft and Google Suites

Nice To Haves

  • Prior medical claim Accounts Receivable experience preferred
  • Knowledge of the Experian and Payer websites preferred

Responsibilities

  • Manages claims utilizing workflow queues to prioritize and complete follow up in accordance with compliance, regulatory and billing guidelines and/or workflow, and specific payer protocols
  • Monitors claim status with payers via web or phone
  • Utilizes Artera as another way to reach and communicate with patients
  • Utilizes software to identify underpaid and overpaid claims and files appeal letters to insurances regarding underpayment or initiate refunds/recoups for overpayments
  • Processes appeal denials obtaining referrals and retro authorizations as needed

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What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Education Level

High school or GED

Number of Employees

11-50 employees

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