Insurance Specialist, Birmingham Pathology Lab, AL

Pathology - LMG - Insurance Specialist

Successfully bills patient accounts to the appropriate insurance company for payment, reconciles insurance payment and denials, follows up with insurance companies as needed, and resolves issues regarding patient accounts.

High school diploma or equivalent required.

Related computer experience, working knowledge of Microsoft Office, Word, Excel

Minimum two years' experience in a medical/billing office setting with a strong knowledge of insurance, managed care, Medicare and Medicaid.

Reports directly to the Director of Billing.

Prolonged sitting

Repetitive hand, wrist and shoulder motion

Lifting up to 25 lbs. occasionally

Extensive reading, writing, talking

Responsible for keying patient information into internal information system.

Analyzes, works, and appeals denials from EOB's and correspondence daily. Flags accounts appropriately.

Fields patient phone calls.

Process refunds to patients & insurance companies

Post patient, insurance payments, adjustments & denials

Answers patient questions on plan issues if the Patient Account Specialists are not able to resolve issues.

Monitors and reports immediately to management on any claim submission problems.

Participates in special projects and/or assignments as requested by Manager/Director.

Resolve insurance claim denials

Excellent organizational skills and ability to do detailed multi-tasks.

Ability to deal effectively and professionally with patients as well as outside vendors.

Working knowledge of office equipment.

Excellent telephone skills.