Insurance Specialist

Rowan Diagnostic Clinic, PA • Salisbury, NC

4d

About The Position

Denial management: Analyzing claim denials, identifying the reason for rejection, and taking appropriate actions such as correcting coding errors, submitting appeals, or contacting the payers for clarification. Reporting and analysis: Generating reports on accounts receivable trends, identifying areas for improvement, and proposing strategies to optimize collection rates. Compliance adherence: Staying current with healthcare regulations, including HIPAA and coding guidelines (ICD-10, CPT) to ensure accurate billing practices. Payer communication: Contacting insurance companies to resolve billing issues, clarify claim status, and advocate for timely payment.

Requirements

• Medical billing knowledge: Thorough understanding of medical billing codes (CPT, ICD-10, HCPCS) and insurance payer guidelines.
• Strong analytical skills: Ability to review complex medical records and identify potential billing errors.
• Excellent communication skills: Effective communication with patients, insurance companies, and internal stakeholders to resolve billing issues.
• Attention to detail: High level of accuracy required to ensure correct claim submission and avoid billing errors.
• Proficiency with billing software: Familiarity with electronic health records (EHR) and billing systems to submit claims electronically.

Responsibilities

• Analyzing claim denials, identifying the reason for rejection, and taking appropriate actions such as correcting coding errors, submitting appeals, or contacting the payers for clarification.
• Generating reports on accounts receivable trends, identifying areas for improvement, and proposing strategies to optimize collection rates.
• Staying current with healthcare regulations, including HIPAA and coding guidelines (ICD-10, CPT) to ensure accurate billing practices.
• Contacting insurance companies to resolve billing issues, clarify claim status, and advocate for timely payment.

What This Job Offers

• Job Type: Full-time
• Education Level: Associate degree