Outstanding Insurance Specialist

The Remote Outstanding Insurance Specialist is a critical role responsible for effectively and efficiently managing the accounts receivable process for an assigned group of payors or supported region/company. This is an in office position!
Responsibilities
- Ensures claims are processed accurately to secure timely payment.
- Responds to inquiries, questions, and concerns from patients regarding the status of claims in a clear, concise, and courteous manner.
- Conducts follow-up and submits reimbursement appeals for unpaid and/or inappropriately paid claims;
ensures appropriate documentation of billing, follow-up, collection, and appeal efforts are recorded on accounts.
- Identifies, researches, and ensures timely processing of billing errors and corrections as they relate to claims;
actively participates in problem identification and resolution and coordinates resolutions between appropriate parties.
Qualifications
- Associate's degree (A. A.) or equivalent from an accredited college, university or technical school;
or three to five years related experience and/or training;
or equivalent combination of education and experience. - Previous high-volume collections experience with PPO’s, Worker' Comp, Medicare and Medicaid strongly preferred - Working knowledge of CPT and ICD-10 codes - Previous experience and demonstrated ability to thrive in a production-driven environment - Excellent time management &
multi-tasking skills - Proficiency with Microsoft Outlook suite of products;
demonstrated aptitude for learning new software programs - Superior verbal and written communication skills