Insurance Claims Specialist

Insurance Claims Specialist

Cardiovascular Institute of the South, a leading organization dedicated to advancing heart health through innovation and excellence, is part of a national cardiology platform, Cardiovascular Logistics (CVL). Together, we share the same mission to provide our patients with the highest quality cardiovascular care available. Join our team and be a part of an organization that is dedicated to improving patient outcomes and shaping the future of heart health.

What We Offer:

• Choice of three health insurance plans
• Dental insurance coverage
• Vision insurance coverage
• 401(k) with company match and profit-sharing plan
• Company-paid short-term and long-term disability coverage
• Company-paid life insurance for you and your family
• Access to company-provided training and educational resources
• Eligibility for annual merit-based performance increases
• Accrued General Purpose Time (GPT)
• Eight company-paid holidays
• Special company events, including Christmas parties, Family Day, employee engagement activities, and Spirit Days
• Complimentary Employee Assistance Program (EAP) for all employees and their dependents

About the Role:

• Serves as an Insurance Claims Specialist within the billing office.
• Responsible for managing insurance collections, working outstanding reports, handling audit logs, and addressing patient billing inquiries.
• Plays a key role in ensuring timely and accurate insurance claim resolution and supporting the overall financial operations of CIS.

How You'll Drive Our Mission Forward:

• Work daily on insurance collection accounts by correcting, refiling, or adjusting claims as needed.
• Manage incoming mail, including refund requests and insurance information requests, ensuring timely and appropriate follow-up.
• Stay current on insurance policy changes, coding guidelines (CPT, ICD, CCI, global), and payer-specific updates to ensure billing accuracy.
• Respond to patient inquiries regarding billing and insurance matters with professionalism and clarity.
• Regularly follow up on claims and work outstanding and credit balance reports to minimize revenue cycle delays.
• Maintain detailed logs of audits, including pre-payment audits, supporting compliance and financial transparency.
• Support CIS's mission by performing any additional duties needed to ensure excellent service and operational success.

What Makes You a Great Match:

• High school graduate preferred.
• Strong organizational and time management skills to handle multiple tasks efficiently.
• Ability to work independently and prioritize responsibilities in a fast-paced environment.
• Competency in computer systems, particularly those used for billing and insurance claims.
• Experience with telephone collections is preferred but not required.
• A proactive attitude and commitment to supporting CIS's patient-first philosophy and operational goals.

Qualifications:

Education:

Required: High School or better.

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.