Insurance Processor
About The Position
KAW NATION POSITION DESCRIPTION TITLE: INSURANCE PROCESSOR IMMEDIATE SUPERVISOR: HEALTH DIRECTOR CONTROLLING SUPERVISOR: Chair STATUS: Regular, full-time LOCATION: Newkirk, OK QUALIFICATIONS: Requires a High School Diploma or GED with a minimum of 2 years experience in a clinical/physician office setting. Work history should reflect knowledge of medical terminology, ICD-9, ICD-10, CPT coding, and third-party billing. Familiarity with EOBs, ERA posting, and claim follow-up processes. Must be proficient in computer skills including Microsoft Word and Excel. Must have excellent attention to detail, communication, and problem-solving skills. Must have a valid driver license and be insurable.
Requirements
- Requires a High School Diploma or GED with a minimum of 2 years experience in a clinical/physician office setting.
- Work history should reflect knowledge of medical terminology, ICD-9, ICD-10, CPT coding, and third-party billing.
- Familiarity with EOBs, ERA posting, and claim follow-up processes.
- Must be proficient in computer skills including Microsoft Word and Excel.
- Must have excellent attention to detail, communication, and problem-solving skills.
- Must have a valid driver license and be insurable.
Responsibilities
- Post insurance payments via EOB or ERA, adjustments, and refunds with accuracy and timeliness.
- Maintain account reconciliation log.
- Review and correct claim denials and rejections, resubmit claims as needed.
- Conduct regular follow-up on aged and unpaid claims to ensure timely resolution.
- Communicates with insurance companies to verify claim status, resolve discrepancies, appeal denials, and covered benefits.
- Maintain compliance with HIPAA and payer regulations.
- Prepare, submit, and track secondary/tertiary claims.
- Ensures accurate and timely reimbursement for services rendered.
- Performs other duties, consistent with the position, as required or assigned by the immediate supervisor or controlling supervisor.
- All new hires will be required by the Kaw Nation to submit to a pre-employment drug screen.
- Failure to pass the pre hire drug screen will lead to withdrawal of the job offer or termination of employment.
- All new hires must be able to stand, walk, stoop, bend, kneel, pull, push and lift a minimum of 25 lbs.
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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
1-10 employees
