Insurance Billing Professional

Job DetailsKey Responsibilities:Follow up on claim status via insurance portals or calls to payers to determine adjudication and details.Call payers and patients as needed to resolve claim rejections, challenge processing decisions, and verify insurance coverage.Verify patient insurance eligibility and coordination of benefits.Review and analyze payer correspondence.Investigate electronic claim rejections.Submit claims for processing corrections, to secondary insurances, or to updated addresses.Research requests for insurance payment retractions.Monitor and notify management of payer trends and/or claim processing issues.Meet or exceed productivity and quality KPI goals.Perform other duties as assigned.Education/Experience:High School diploma or GEDPrevious health insurance billing experienceWorking knowledge of medical terminologyStrong problem-solving skills and the ability to adapt to changes in policies, regulations, and proceduresExcellent written and verbal communication skillsHigh attention to detailAbility to interact effectively with othersAbility to maintain confidentialityProficient computer skills with knowledge of Microsoft Word and ExcelEqual 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.