Medical Insurance Specialist

Other Jobs To Apply

Job Description:

  • Analyze, audit and resolve claims outstanding, denied, or incorrectly paid
  • Review and respond to payer correspondence
  • Submit appeals as needed for denied claims
  • Contact insurance companies and navigate payer websites to secure and expedite insurance payments
  • Resolve patient billing inquiries
  • Document in detail all actions taken in the accounts receivable system
  • Meet productivity expectations as outlined by supervisor
  • Recognize, document and notify Team Lead of trends resulting in nonpayment or incorrectly paid claims
  • Answer and resolve inbound calls from insurance carriers
  • Participate in process improvement initiatives as needed
  • Keep current with Medicare and other third-party administrator regulations and procedures
  • Manage special projects requested by supervisor or team lead
  • Perform essential functions with or without reasonable accommodation

Requirements:

  • High school diploma
  • 1+ year of insurance follow-up including working knowledge of the appeals resolution process
  • Strong written, and oral communication skills
  • Analytical and problem solving capabilities with close attention to detail
  • Excellent organizational and follow-up skills
  • Thorough working knowledge of revenue cycle management including medical terminology, ICD-9, ICD-10, CPT-4 coding, Medicare reimbursement guidelines, billing and collection practices
  • Ability to read and interpret EOB's
  • Highly self-motivated, with ability to work independently and meet deadlines
  • Ability to remain flexible during times of change and adjusts promptly and effectively
  • Must be able to learn, understand, and apply new technologies
  • Must reside in TN, AZ, FL, GA, or OH

Benefits:

    Back to blog

    Other Jobs To Apply

    Entertainment Coordinator

    Account Executive - Splunk - Higher ED at Cisco: 100% Remote (OH, DE, NJ, PA)

    Senior Java Engineer - Distributed Systems, Serverless - Elasticsearch

    Solutions Consultant

    Squarespace Website Refresh + Strategic Service Pages

    VP, GTM, UCANZ

    Principal Engineer, Identity

    Oracle Software Developer Remote / Telecommute Jobs

    Sr ServiceNow Developer | Remote Remote / Telecommute Jobs

    Executive Recruiter

    Immediate Hiring – Entry-Level Customer Support (USA Only)

    Customer Engineer/Buffer - Flexforce - Customer Engineer

    Work From Home Customer Service Rep

    ServiceNow Developer Remote / Telecommute Jobs

    Part-Time Shopify Data & PO Coordinator (Remote)

    Senior Machine Learning Engineer, Applied AI & Data

    GitHub Contributor

    Director of Product Design - Remote E‑Commerce UX Leader

    DataBricks Developer/Consultant-Remote 100%

    Product Marketing Manager, International

    Software Engineer II, Developer Platform

    Facilitator SNAP

    Data Scientist – Music Mission

    Programmer 1, Creator Streams + Discovery (Temporary)

    Video Editor, CBS Sports (Freelance)

    [Remote] Representative 3, Comcast Business Loyalty- Direct Sales

    Therapist

    [Remote] Client Partner, Enterprise Sales - New England Based

    Premium Services Account Executive - Food and Beverage - Remote

    Sr. Commercial Development Analyst

    Director of Customer Analytics — Domino's Pizza USA

    Director, FSQA International Partnerships & New Ventures

    Sr Network Architect

    [Remote] Associate Director, Oncology Treatment Site Lead - Southwest Territory (AZ, NM, San Diego CA)

    Away from Home/Food Service Sales Representative, Cranston

    Specialty Representative, Migraine (Remote)

    [Remote] Associate Director, SAP Internal Warehouse and Serialization

    Global Key Account Manager* - Semiconductors

    Site Quality Specialist

    Hiring Event | Virtual & In-Person | Embedded SW Engineer | Dallas, TX

    Software Certification Engineers (Senior, Lead, or Expert) (Virtual)

    Sr. Software Engineer, Full-Stack (Factory Systems)

    Software Engineer - Virtual Test Platforms

    Remote Data Entry Clerk

    Wholesale Business Consultant

    Director - Labor Relations

    Customer Team Lead- Kroger

    Citi Liberal Arts Mentorship Program (Virtual)

    Relationship Manager Development Program (Global Commercial Banking) Middle Market - North Texas/Dallas

    Senior Consulting Manager, Financial Reporting Solutions (VP level)

    Common Interview Questions And Answers

    1. HOW DO YOU PLAN YOUR DAY?

    This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

    2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

    When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

    3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

    Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

    4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

    With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

    5. HOW DO YOU PROCESS INFORMATION?

    Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

    6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

    Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

    7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

    Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

    8. HOW TO PRIORITIZE WORK?

    The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

    9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

    Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

    10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

    This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...