Insurance Specialist
Duties and responsibilities include, but are not limited to :
- Initiates timely collection and disposition of unpaid claims including all denials, appeals, and secondary coverage with the appropriate insurance carrier.
- Researches and resolves underpayments with insurance carrier as per billing contract.
- Contacts patients regarding balances, outstanding claims, and assisting with denials if necessary.
- Updates patient demographics by utilizing third party payer on-line resources to verify insurance benefits, coordination of benefits, check claim status, and file corrected claims directly with payer if required.
- Processes all credit balances and refund requests to insurance companies and patients.
- Performs contractual adjustments with supporting documentation with administrative approval.
- Performs other duties or special projects as assigned by manager.
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