Demo

Insurance Review Specialist

Powers Health
Saint John, IN Full Time
POSTED ON 1/30/2025
AVAILABLE BEFORE 2/28/2025

Job Description

Position

Insurance Review Specialist

Location

St. John Outpatient Center, St. John, IN (Hybrid after 6 months)

Responsibilities

  1. Interact daily with patients, insurance carriers, and system staff to ensure timely claims submission and acceptance.
  2. Perform follow-up work queues and outstanding claim tracking, denial management, claim appeals, and retro-adjudication.
  3. Pursue accounts receivable balance resolution, statement processing, self-pay follow-up, and bad debt processes.

Requirements

  • High School graduate or GED equivalent required.
  • 1-2 years of insurance or medical billing experience preferred, with a physician practice setting strongly preferred.
  • In-depth knowledge of medical terminology and CPT, ICD-9-CM, ICD-10-CM, and HCPCS coding systems required.
  • Comprehension of government and third-party billing regulations necessary.
  • Ability to utilize Microsoft Office applications, perform internet navigation and research, and have prior experience using a computerized health information system.
  • Familiarity with operating general office equipment, including scanners, fax machines, photocopiers, printers, and adding machines.
  • Excellent multitasking skills and ability to remain calm under pressure.
  • Strong interpersonal skills and communication abilities for interacting with patients, family members, physicians, and hospital associates.

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