Insurance Specialist

Insurance Specialist – Under the Supervision of the Business Office Supervisor is responsible for the timely and accurate follow-up of claims submitted to assigned insurance carriers.  Worker’s Compensation and Commercial experience preferred.

DUTIES & RESPONSIBILITIES:

• Responsible for follow–up of insurance claims through the use of PCS and other mechanisms as directed by management.
• Responsible for general knowledge of payer rules and contract guidelines and billing procedures in order to accomplish follow-up activities.
• Responsible for review and correction of denied claims in accordance with rules and regulations both Federal and carrier specific.
• Will assist Correspondence Team in answering patient inquiries.

RELATIONSHIP WITH OTHERS:  Must interact well with providers and clinical staff as well as payer staff and the staff and management in the Business Office.  Must exhibit a high degree of attention to detail.

EDUCATION/EXPERIENCE/KNOWLEDGE: High School graduate or equivalent.