Acute Hospital Insurance Specialist 3
CorroHealth
full-time
Posted on:
Location Type: Remote
Location: Remote • Hawaii • 🇺🇸 United States
Visit company websiteJob Level
Mid-LevelSenior
About the role
- Resolve complex, higher-dollar unpaid/denied claims by leveraging proprietary software system, making phone calls, generating letters, accessing client systems and insurance carrier web portals in the pursuit of getting a claim resolved.
- Identify and report trends found during the account resolution process such as CPT/HCPCS errors/deletions, duplicate claims, revenue code mapping mismatches, missing charges, no claim on file.
- Perform financial account assessment functions including but not limited to adjustments and NRP to patient.
- Work within client systems to complete rebill functions.
- Perform administrative functions including but not limited to medical record submissions, billing claims, patient assistance outreach, obtaining documents from client systems and insurance plan code updates, review corrected claim requests and approve for client assistance or correct the bill within client platform, review and submit payment verification assistance requests.
- Maintain familiarity with client preferences and known issues across multiple client accounts.
Requirements
- High School Diploma or equivalent
- 5+ years relevant industry experience in registration, billing, collections, required
- 3+ years experience with insurance carrier claims resolution, required
- 3+ years of Epic, Cerner, Meditech or other EMR experience preferred
- Knowledge of UB04 claim forms, EOB’s and medical records required
- ICD-9, ICD-10, CPT and HCPCS coding knowledge required
- Ability to conduct detailed research to resolve complex claims
- Intermediate mathematics skills (addition, subtraction, ability to identify trends, etc.)
- Advanced knowledge of Excel and Power Point
- Strong verbal and written communication skills
- Ability to analyze and interpret complex documents, contracts, notes, and other correspondence
- Ability to prioritize and multitask in a fast-paced environment
- Ability to work effectively in a remote environment
- Investigative mind set to identify issues and implement solutions.
Benefits
- We build long-term careers by investing in YOU.
- Competitive salary
- Health insurance
- Flexible work arrangements
- Professional development
- Special projects for clients as needed.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
claims resolutionfinancial account assessmentbilling claimsmedical record submissionsCPT codingHCPCS codingICD-9 codingICD-10 codingExcelPower Point
Soft skills
strong verbal communicationstrong written communicationanalytical skillsprioritizationmultitaskinginvestigative mindsetproblem-solvingattention to detailadaptabilityremote work effectiveness