Medical Data Systems Inc. is seeking a detail-oriented and motivated Insurance Specialist to join its insurance support and billing team. The role focuses on insurance follow-up, claim submission, denial appeals, account maintenance, and supporting collections efforts in a fast-paced healthcare environment.
Responsibilities include:
- Perform insurance follow-up activities, including claim submission, claim status inquiries, and filing appeals for denied claims
- Process a high volume of detailed account information accurately and within established performance guidelines
- Navigate multiple systems to obtain insurance, contact, and attorney information as needed
- Support collections prioritization by updating account data and identifying next steps
- Maintain confidentiality and comply with HIPAA regulations
- Apply hospital billing knowledge to assigned duties
- Correct and resubmit claims, file appeals, and contact insurance companies, attorneys, or patients regarding outstanding balances
- Work assigned facility-specific queues and keep account information complete and accurate
- Assist with special projects and provide support to colleagues and management as needed
Requirements & Qualifications
Required qualifications include:
- 3-5 years of experience in a healthcare setting such as a hospital business office, surgery center, physician practice, or health insurance organization
- Strong communication skills, attention to detail, and self-motivation
- Knowledge of insurance processes, including claim submission, denials, claim status inquiries, and basic HCPCS/CPT/ICD-10 coding
- Familiarity with Medicare, Medicaid, commercial plans, auto, workers' compensation, liability, crime victims, and state/federal insurance programs
- Experience with medical billing and collection practices, business office procedures, and multi-system computer navigation
- Ability to type at least 55 words per minute
- High school diploma or GED required; some college preferred
Location
Georgia, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
No
Posted
2 months ago
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