Insurance Analysts demonstrate thorough knowledge of the claims revenue cycle. The Insurance Analyst position is responsible for answering patient and staff inquiries, reviewing outstanding and/or denied insurance claims, submitting insurance appeals, and maintaining assigned insurance queues.
This role requires excellent customer service skills to assist patients and staff with insurance participation, coding guidelines, medical policies, denial codes, and benefits application.
Key responsibilities include working denied claims, processing denials accurately and timely, correcting claims with additional documentation, submitting appeals, communicating with insurance companies, querying providers, applying compliance guidelines to maintain billing integrity, updating patient account information, handling incoming correspondence, identifying denial trends, answering patient inquiries regarding accounts, auditing accounts, following up on accounts until resolution, posting corrections and payments, transferring credits, and applying discounts or adjustments per company policy.
This is a full-time role based in an office environment with limited exposure to communicable diseases, requiring the ability to sit or walk up to 8-10 hours a day, and some physical activity including lifting 10-15 lbs.
- 3-5 years of third-party billing experience in a physician's office
- Knowledge of ICD-10 and CPT coding
- Experience with medical billing systems
- Thorough understanding of Medicare/Medicaid laws, managed care, and commercial health insurance
- Strong customer service skills with excellent telephone etiquette and communication abilities
- Ability to work with little supervision and strong organizational skills
- Self-motivated and able to work cooperatively
- Regular and predictable attendance required
- High school diploma or equivalent
Location
Nashville, Tennessee, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago