Position : Insurance Review Specialist
Location : St. John Outpatient Center, St. John, IN 46373 (hybrid)
Job Summary :
Under the insurance review team's supervision, the Insurance Review Specialist will interact daily with patients, insurance carriers, and system staff members to ensure claims are submitted and accepted in a timely manner.
Insurance Review Specialists work on follow-up work queues and performs outstanding claim tracking, denial management, claim appeals, and retro-adjudication.
Insurance Review Specialists will pursue accounts receivable balance resolution, statement processing, self-pay follow-up, and bad debt processes.
Education / Experience Requirements :
- High School graduate (or GED equivalent).
- 1-2 years insurance or medical billing experience preferred; Physician practice setting strongly preferred.
- Possess in-depth knowledge of medical terminology; and of the CPT, ICD-9-CM, ICD-10-CM, and HCPCS coding systems.
- Comprehension of government and third party billing regulations required.
- Must be able to utilize Microsoft office applications, perform internet navigation and research, and have prior experience using a computerized health information system.
- Needs to be familiar with operating general office equipment, including but not limited to : scanner, fax machine, photocopy machine, printer and adding machine.
- Ability to multi-task efficiently and effectively.
- Must be able to act calmly and effectively in a busy or stressful situation.
- Excellent attitude, interpersonal skills and communication abilities necessary to interact with patients, family members, physicians, and other hospital associates.
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