What are the responsibilities and job description for the Insurance Review Specialist position at Powers Health?
Job Description
Position
Insurance Review Specialist
Location
St. John Outpatient Center, St. John, IN (Hybrid after 6 months)
Responsibilities
- Interact daily with patients, insurance carriers, and system staff to ensure timely claims submission and acceptance.
- Perform follow-up work queues and outstanding claim tracking, denial management, claim appeals, and retro-adjudication.
- 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.