Insurance Claims Spec HB
WVU Medicine
Ruby
Billing and Collections Representative
Providence
full-time
Posted on:
Origin: • 🇺🇸 United States • Washington
Visit company websiteSalary
💰 $29 - $40 per hour
Job Level
JuniorMid-Level
About the role
- Collect active A/R from insurance payers including but not limited to commercial, Blue Cross, Blue Shield, Aetna, Uniform Medical, United Healthcare, HMOs, PPOs, and other payers.
- Contact insurance payers by phone or online inquiry regarding unpaid hospital claims.
- Review remaining balances on account after insurances have paid to determine appropriate next action.
- Review denials by insurances for entire claims and for line items to determine if additional follow up is needed or assistance from other departments.
- Forward to appropriate departments as needed, including Care Coordination, Revenue Coordination, Registration, etc.
Requirements
- Medical terminology and medical coding training in an accredited school. Or equivalent education/experience
- Equivalent on-the-job training in a follow-up role required
- 2 years of experience in insurance billing/insurance follow-up or insurance claims processing and/or customer service, including private insurance
