Insurance Specialist

Boice-Willis • Rocky Mount, NC

1d

About The Position

Initiates timely collection and disposition of unpaid claims including all denials, appeals, and secondary coverage with the appropriate insurance carrier. Research and resolves underpayments with insurance carrier as per billing contract. Contacting patients regarding balances, outstanding claims, and assisting with denials if necessary. Updating patient demographics by utilizing third party payer on-line resources to verify insurance benefits, coordination of benefits, check claim status, and file corrected claims directly with payer if required. Process all credit balances and refund requests to insurance companies and patients. Performs contractual adjustments with supporting documentation with administrative approval. Performs other duties or special projects as assigned by manager. Maintain confidentiality of all patient privacy and policy information.

Requirements

• Knowledge of insurance and billing
• Commercial Insurance Payer Billing Experience
• Computer proficiency
• Strong people skills
• Excellent verbal & written communication skills
• Posses the ability to work in a constantly changing environment
• Displays diligence

Responsibilities

• Initiates timely collection and disposition of unpaid claims including all denials, appeals, and secondary coverage with the appropriate insurance carrier
• Research and resolves underpayments with insurance carrier as per billing contract
• Contacting patients regarding balances, outstanding claims, and assisting with denials if necessary
• Updating patient demographics by utilizing third party payer on-line resources to verify insurance benefits, coordination of benefits, check claim status, and file corrected claims directly with payer if required
• Process all credit balances and refund requests to insurance companies and patients
• Performs contractual adjustments with supporting documentation with administrative approval
• Performs other duties or special projects as assigned by manager
• Maintain confidentiality of all patient privacy and policy information

What This Job Offers

• Career Level: Mid Level
• Education Level: No Education Listed