Insurance Specialist

Job Responsibilities:

• Initiates timely collection and disposition of unpaid claims including all denials, appeals, and secondary coverage with the appropriate insurance carrier
• Research and resolves underpayments with insurance carrier as per billing contract
• Contacting patients regarding balances, outstanding claims, and assisting with denials if necessary
• Updating 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
• Process 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
• Maintain confidentiality of all patient privacy and policy information

• Knowledge of insurance and billing. Commercial Insurance Payer Billing Experience Preferred
• Computer proficiency.
• Strong people skills.
• Excellent verbal & written communication skills.
• Posses the ability to work in a constantly changing environment.
• Displays diligence.