What are the responsibilities and job description for the Medical Insurance Specialist position at Huntsville Hospital Spine and Neuro?
Job Overview
We are seeking a detail-oriented and knowledgeable Insurance Specialist to join our team. The ideal candidate will have a strong background in medical office procedures, insurance verification, and coding. This role is essential in ensuring that all insurance claims are processed accurately and efficiently while maintaining compliance with HIPAA regulations. The Insurance Specialist will work closely with healthcare providers, patients, and insurance companies to facilitate the billing process and resolve any discrepancies.
Responsibilities
- Verify patient insurance coverage and benefits prior to services rendered.
- Process and submit insurance claims for reimbursement, ensuring accuracy in coding using ICD-10 and ICD-9 standards.
- Review and resolve denied claims by communicating with insurance companies and patients as necessary.
- Maintain organized medical records and ensure compliance with HIPAA regulations regarding patient information confidentiality.
- Collaborate with medical staff to obtain necessary documentation for claims processing.
- Stay updated on changes in managed care policies and coding practices to ensure compliance and optimal reimbursement.
- Assist in training new staff on insurance verification processes and coding standards as needed.
Experience
- Previous experience in a medical office setting is preferred, with a focus on insurance verification and billing processes.
- Knowledge of medical coding practices, including familiarity with ICD-10, ICD-9, and other relevant coding systems.
- Experience with managed care plans is a plus.
- Strong attention to detail with the ability to manage multiple tasks efficiently.
- Excellent communication skills for effective interaction with patients, healthcare providers, and insurance representatives.
Join our team as an Insurance Specialist where your expertise will contribute to the smooth operation of our medical office while ensuring that patients receive the best possible care without financial barriers.
Job Type: Full-time
Work Location: In person
