Insurance Representative

Job Description

Job Description

Insurance Representative

OSMC is dedicated to providing the highest quality care for diseases and injuries of the musculoskeletal system within a patient-centered, service-driven environment. Our team works collaboratively to ensure every patient receives exceptional care and support throughout their treatment journey.

Responsibilities include coding and processing insurance claims, reviewing claims for accuracy and completeness, and correcting or completing claim forms as needed. This position is responsible for researching claim issues, entering data into the insurance claims processing system, and following up on outstanding claims to ensure timely reimbursement to ensure the proper payment process for the company.

Additional duties include preparing claims for resubmission or appeal when necessary, resolving billing discrepancies, and working with insurance carriers to obtain claim status updates and payment information. This will require a great deal of telephone skills and the person must be comfortable working off a telephone with strong customer service skills to find the needle in the haystack.

The ideal candidate will possess strong attention to detail, excellent organizational skills, and the ability to work effectively in a fast-paced healthcare environment. Prior medical insurance claims experience is a MUST. Knowledge of insurance regulations, claim submission processes, and medical terminology is highly desirable. This role does require a minimum of a GED/High School Diploma to apply.