Insurance Claims Specialist

Who We Are:

Cardiovascular Institute of the South, a leading organization dedicated to advancing heart health through innovation and excellence, is part of a national cardiology platform, Cardiovascular Logistics (CVL). Together, we share the same mission to provide our patients with the highest quality cardiovascular care available. Join our team and be a part of an organization that is dedicated to improving patient outcomes and shaping the future of heart health.

What We Offer:

• Choice of three health insurance plans


• Dental insurance coverage


• Vision insurance coverage401(k) with company match and profit-sharing plan


• Company-paid short-term and long-term disability coverage


• Company-paid life insurance for you and your family


• Access to company-provided training and educational resources


• Eligibility for annual merit-based performance increases


• Accrued General Purpose Time (GPT)


• Eight company-paid holidays


• Special company events, including Christmas parties, Family Day, employee engagement activities, and Spirit Days


• Complimentary Employee Assistance Program (EAP) for all employees and their dependents

About the Role

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  Serves as an Insurance Claims Specialist within the billing office.

  
  


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  Responsible for managing insurance collections, working outstanding reports, handling audit logs, and addressing patient billing inquiries.

  
  


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  Plays a key role in ensuring timely and accurate insurance claim resolution and supporting the overall financial operations of CIS.

  
  

How You’ll Drive Our Mission Forward

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  Work daily on insurance collection accounts by correcting, refiling, or adjusting claims as needed.

  
  


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  Manage incoming mail, including refund requests and insurance information requests, ensuring timely and appropriate follow-up.

  
  


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  Stay current on insurance policy changes, coding guidelines (CPT, ICD, CCI, global), and payer-specific updates to ensure billing accuracy.

  
  


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  Respond to patient inquiries regarding billing and insurance matters with professionalism and clarity.

  
  


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  Regularly follow up on claims and work outstanding and credit balance reports to minimize revenue cycle delays.

  
  


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  Maintain detailed logs of audits, including pre-payment audits, supporting compliance and financial transparency.

  
  


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  Support CIS’s mission by performing any additional duties needed to ensure excellent service and operational success.

  
  

What Makes You a Great Match

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  High school graduate preferred.

  
  


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  Strong organizational and time management skills to handle multiple tasks efficiently.

  
  


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  Ability to work independently and prioritize responsibilities in a fast-paced environment.

  
  


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  Competency in computer systems, particularly those used for billing and insurance claims.

  
  


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  Experience with telephone collections is preferred but not required.

  
  


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  A proactive attitude and commitment to supporting CIS’s patient-first philosophy and operational goals.