Guthrie

Insurance Specialist I – Corporate Patient AR Management

Guthrie

full-time

Posted on:

Location Type: Hybrid

Location: TowandaPennsylvaniaUnited States

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About the role

  • Responsible for non‐complex electronic and paper claim submissions to insurance payers.
  • Coordinates required information for filing secondary and tertiary claims.
  • Analyzes claims for accuracy, including diagnosis and procedure codes.
  • Makes charge corrections or follows up with appropriate parties as needed.
  • Follows up with payers on unresponded claims.
  • Works denied claims by following correct coding and payer guidelines.
  • Teams with Insurance Billing Specialist II and Denial Resolution staff for projects, guidance on more complex billing issues, and training.
  • Responds to questions from insurance companies, government agencies, and all Guthrie Medical Group offices.
  • Partners with CRC and other Guthrie departments to field billing inquiries.

Requirements

  • High school diploma required; CPC, CCA, RHIA, RHIT certification in medical billing and coding or Associates degree preferred.
  • Strong organizational and customer service skills a must.
  • Experience with office software such as Word and Excel required.
  • Previous experience performing in a high volume and fast paced environment.
Benefits
  • Health insurance
  • 401(k) matching
  • Flexible schedules
  • Paid time off
  • Professional development opportunities
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
medical billingcodingdiagnosis codesprocedure codescharge correctionsclaims analysisclaims submission
Soft Skills
organizational skillscustomer service skillscommunication skills
Certifications
CPCCCARHIARHIT