Insurance Specialist

ORA Orthopedics • Bettendorf, IA

6d • Onsite

About The Position

In this role, you will be responsible for managing insurance and billing-related tasks to ensure accurate and efficient claims processing. Key responsibilities include answering incoming phone calls regarding insurance and billing inquiries, collecting patient payments over the phone, and addressing claim denials, credits, and accounts receivable for assigned accounts. This role involves troubleshooting denied and pending claims, processing credits, and rebilling accounts when necessary. Additional responsibilities include sending claims to secondary payers, researching and correcting data entry errors, submitting corrected claims, updating system code sets, gathering and loading information from payer websites, and running/creating claims reports. ORA holds all our staff members accountable for providing high-level care, maintaining patient confidentiality, and complying with all HIPAA rules and regulations.

Requirements

• High school diploma or equivalent.
• Strong understanding of customer service principles.
• Comfortable working in Microsoft Office programs (Word and Excel).
• Familiarity with insurance payers and medical terminology.
• Excellent interpersonal, oral, and written communication skills.
• Strong attention to detail.
• Organizational skills.
• A compassionate and patient-focused approach.

Nice To Haves

• Previous insurance experience in a medical office.

Responsibilities

• Managing insurance and billing-related tasks to ensure accurate and efficient claims processing.
• Answering incoming phone calls regarding insurance and billing inquiries.
• Collecting patient payments over the phone.
• Addressing claim denials, credits, and accounts receivable for assigned accounts.
• Troubleshooting denied and pending claims.
• Processing credits and rebilling accounts when necessary.
• Sending claims to secondary payers.
• Researching and correcting data entry errors.
• Submitting corrected claims.
• Updating system code sets.
• Gathering and loading information from payer websites.
• Running/creating claims reports.
• Providing high-level care.
• Maintaining patient confidentiality.
• Complying with all HIPAA rules and regulations.

Benefits

• More information about the benefits offered as part of our employment package with ORA Orthopedics is available here: https://flimp.live/ORAOrthopedicsBenefitSummary . Please note that some benefits are dependent upon the position and employment status held.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED