Insurance Specialist

Southern Bone & Joint Specialists PA • Hattiesburg, MS

2d • Onsite

About The Position

The insurance specialist monitors accounts receivable, contacts insurers for information regarding non-payment, submits appeals for insurance denials, and provides needed medical records to insurers. Responsible to the Business Office Manager.

Requirements

• Must have completed high school or equivalent.
• Must be able to communicate the English language, both written and verbal.
• Experience with healthcare appeals and insurance claim adjudication.
• Knowledge of billing, procedural, and diagnostic codes used in billing for health care services.
• Knowledge of medical terminology.
• Must possess the physical ability and perceptive acuity (e.g. visual, hearing) to satisfactorily perform all direct and indirect clerical functions.
• Must have or obtain CPR certification.

Responsibilities

• Responsible for all aspects of insurance AR.
• Contact insurance companies to determine reason for non-payment.
• Submit insurance reconsideration requests, disputes, and appeals.
• Provide medical documentation to insurers as needed, and communicate with patients regarding information requests from the insurer to the member.
• Assists in backing up receptionist and/or other roles.
• Participate in pertinent educational programs and facility meetings.
• Perform other office functions as directed by Office Manager.
• Comply with the Policy & Procedures of Southern Surgery Center including, but not limited to, the identification and reporting of adverse incidents.

What This Job Offers

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