Insurance Specialist

This is a fully remote position, open to applicants in United States.

📋 Description

• Manage a significant number of unpaid or incorrectly processed claims to ensure reimbursement.

• Execute medical billing tasks for third-party claims.

• Examine unpaid claims and simple denials; appeal, modify, and resubmit claims as required.

• Follow up with insurance providers regarding unpaid or incorrectly billed services.

• Assist patients in understanding the insurance claim process.

• Provide support to patients with collection inquiries when the Collections Specialist is not available.

• Write off uncollectible amounts up to $500, based on experience.

• Address claim edits prior to claim submission.

• Review and process payer refunds.

• Investigate and resolve minor patient complaints and credit balances.

• Complete special projects and other assigned responsibilities.

• Uphold confidentiality and adhere to Joint Commission, HIPAA, and PHI regulations.

• Rotate to different shifts and locations as required.

⛳️ Requirements

• High School Diploma or GED is required.

• Must possess a valid state driver’s license and proof of insurance.

• Experience in patient accounts billing is preferred.

• Familiarity with IDX Flowcast BAR is advantageous.

• Experience with CPT and ICD-9 coding is preferred.

• Strong customer service skills are essential.

• Excellent communication and interpersonal abilities are required.

• Detail-oriented, capable of multitasking, organized, and able to thrive in a fast-paced environment.

• Proficiency in Microsoft Office (Outlook, Word, Excel), Kronos, Replicon, Internet, Intranet, IDX, Meditech, Code Correct, Gateway EDI, and Imagecast is highly desirable.

• Must successfully pass a background check as mandated by RCW 43.43.830-840.

• Must not be listed on the HHS OIG List of Excluded Individuals.

• Eligible employees are required to pass a post-offer, pre-employment drug test, including marijuana.

• Ability to maintain strict confidentiality is required.

• Regular attendance is mandatory.

• Ability to rotate to other shifts and locations as necessary.

🏝️ Benefits

• Full-time, regular employment.

• Remote work from Monday to Friday.

• Opportunities for continuing education through professional journals and approved seminars.

• Reasonable accommodations for individuals with disabilities.

• Commitment to equal employment opportunity.