Job Summary
Insurance Specialists are responsible for accurately identifying hospital and professional fee insurance claim denials and claims processing errors in order to resolve accounts.
This is a remote position.
Responsibilities
- Resolve unpaid or denied claims by using proprietary software, making phone calls, generating letters, and accessing client systems and insurance carrier web portals.
- Work with professional fee and hospital-based claims.
- Review medical documentation such as UB04 claim forms, EOBs, and medical records to determine the appropriate course of action for claim resolution.
- Maintain familiarity with client preferences and known issues.
- Meet monthly production and quality expectations.
- Comply with HIPAA privacy laws.
- Perform other duties as assigned.
Requirements & Qualifications
Qualifications
- High school diploma or equivalent.
- At least 1 year of physician and/or hospital accounts receivable experience preferred.
- Knowledge of UB04 claim forms, EOBs, and medical records preferred.
- At least 1 year of Epic, Cerner, Meditech, or other EMR experience preferred.
- Knowledge of basic computer functions.
- Ability to work effectively in a remote environment.
- Strong verbal and written communication skills.
- Basic mathematics skills, including addition, subtraction, and calculating percentages.
- Ability to analyze and interpret documents, contracts, notes, and other correspondence.
- Ability to multitask in a fast-paced environment.
- Strong organization skills and attention to detail.
Benefits & Perks
Benefits
- Competitive hourly rate commensurate with related experience.
- Remote, predictable full-time schedule.
- Medical, dental, and vision coverage.
- Long-term disability insurance and life insurance.
- Holidays and paid time off.
- 401(k) with company match.
- Parental leave.
- Certification and tuition reimbursement.
Location
Texas, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
1 week ago
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