Insurance Specialist

Job Responsibilities:

• Initiates timely collection and disposition of unpaid claims including all denials, appeals, and secondary coverage with the appropriate insurance carrier


• Research and resolves underpayments with insurance carrier as per billing contract


• Contacting patients regarding balances, outstanding claims, and assisting with denials if necessary


• Updating patient demographics by utilizing third party payer on-line resources to verify insurance benefits, coordination of benefits, check claim status, and file corrected claims directly with payer if required


• Process all credit balances and refund requests to insurance companies and patients


• Performs contractual adjustments with supporting documentation with administrative approval


• Performs other duties or special projects as assigned by manager


• Maintain confidentiality of all patient privacy and policy information

Required Skills & Abilities:

• Knowledge of insurance and billing. Commercial Insurance Payer Billing Experience Preferred


• Computer proficiency.


• Strong people skills.


• Excellent verbal & written communication skills.


• Posses the ability to work in a constantly changing environment.


• Displays diligence.