Insurance Specialist - Medicaid Denial Follow-up

Delaney Radiology is seeking an Insurance Specialist with expertise in Medicaid denial follow-up.

The Insurance Specialist is responsible for ensuring that radiologic services are billed accurately and in accordance with insurance guidelines. This role involves following up on unpaid, denied, or underpaid Medicaid claims.

Candidates are required to report to the office for the initial training period, but the position has the potential to become remote once training is completed.

Responsibilities:

• Conduct thorough reviews and resolutions for patient accounts.
• Refile and correct claims to ensure timely resolutions.
• Contact insurance payers about unpaid claims.
• Assess remaining account balances after insurance payments.
• Analyze insurance denials and determine follow-up actions.
• Document ongoing issues with insurance payers.
• Verify patient eligibility using online systems.
• Write and submit appeals when necessary.
• Respond to inquiries from patients and insurance companies.
• Ensure compliance with contracted insurance policies.
• Perform additional assigned duties as needed.

Position Requirements:

• A minimum of 1 year of experience in medical billing is required, with a preference for experience in Radiology.
• Experience with Imagine Software is highly preferred.
• The ability to work quickly and efficiently in a fast-paced, high-volume billing office.
• Knowledge of HIPAA, medical terminology, and medical insurance required.
• Must possess strong communication skills, empathy, and patience
• Attention to detail and accuracy are essential, along with a commitment to confidentiality.

When you join the Delaney team, you will be eligible for an attractive compensation/benefits package that includes:

• Company-paid Medical and Dental Insurance
• Generous Paid Time Off
• Paid Holidays
• And much more!

About Us:

Delaney Radiology is the leading imaging group in Southeastern North Carolina. Our team comprises more than 30 radiologists and a dedicated group of physician assistants, radiologic technologists, and professional support staff. With state-of-the-art equipment and a team of passionate professionals, we strive to make a meaningful difference in the lives of those we serve.

Thank you for considering Delaney Radiology for your next career opportunity!

PLEASE NO PHONE CALLS.

Delaney Radiology is an equal opportunity employer and does not discriminate against any employee or applicant for employment because of race, color, religion, national origin, age, disability, veteran status, or any other reason prohibited under Federal, State, or local laws.

Note: This job description is not intended to be all-inclusive. The employee may perform other related duties as assigned by their supervisor.

Job Type: Full-time

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Application Question(s):

• What are your salary requirements?

Ability to Commute:

• Wilmington, NC 28401 (Required)

Work Location: In person