What are the responsibilities and job description for the Medical Insurance Analyst position at Highland Clinic?
What we do here changes people’s lives. Highland Clinic is committed to providing a reputable source of quality comprehensive health care to every patient that comes through our doors. That’s where you come in.
Once you join us you’ll feel like you’re right where you belong. We greatly value our employees and their hard work. We reward our team for the patient care they provide with competitive pay and a benefits package that includes 401k matching, options for Medical, Disability, Dental, Vision and Life insurance, and paid time off!
Position Summary: You will function as a member of our clinical team, providing a key supportive role in the delivery of care that is safe, effective, patient centered, timely and efficient. This position is responsible for researching and resolving outstanding medical claims and documenting their progress throughout the life of the claims until it can be re-filed. It involves both customer service and medical billing aspects.
ESSENTIAL FUNCTIONS:
- Research outstanding claim balances using online research via insurance company portals, and telephone calls to organizations regarding claims status.
- Professionally communicate with insurance resources by website, e-mail, telephone, and customer service departments, etc.
- Take initiative to utilize and apply industry knowledge to resolve outstanding claims
- Accurately document progress of each claim throughout cycle
- Reviews and works the claim denial report
- Maintain confidentiality of all patient and clinic information
- Performs other duties as assigned by supervisor
QUALIFICATIONS:
- High School diploma or equivalent.
- At least one year experience in NextGen working insurance claims (preferred)
- In-depth knowledge of Explanation of Benefits (EOBs) with at least 1 year of medical collections, claim denials, CPT, ICD 10 or billing experience.
- Possess knowledge of insurance carrier billing and reimbursement as well as medical terminology.
- Professional demeanor and attitude with good customer service skills
- Strong analytical and problem-solving skills.
- Ability to work independently while understanding the importance of teamwork
Job Type: Full-time
Pay: $16.00 - $18.00 per hour
Expected hours: 40 per week
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee discount
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Experience:
- medical insurance: 1 year (Required)
Work Location: In person
Salary : $16 - $18
