Insurance Specialist

This is a fully remote 6-month contrac to hire

Must Haves:
High School or GED
Minimum 2+ years of medical insurance collections experience
Etna, cigna, united healthcare
Knowledge of medical terminology utilized in medical collections and billing (CPT, ICD-10, HCPCS)
Experience with insurance claims and insurance denials
Experience in payor portals and EHR systems

Plus:
Experience in a gastro specialty, surgery, orthopedics
Experience with eClinicalWorks

Day to Day
Provides Liaison between the providers of health care services, the patient, or other responsible persons, and revenue sources, to ensure the correctness of charges, a current record of all transactions, and account resolution
Maintains active communications with insurance carriers and third-party carriers until account is paid.
Negotiates payment of current and past due accounts by direct telephone and written correspondence.
Updates patient account information.
Monitors and identifies payer denial trends and problem accounts; communicates patterns to supervisor.
Runs a monthly aging report based on DOS and current A/R to identify accounts that require follow up.
Manage all assigned worklist daily for assigned insurances.
Utilize collection techniques to resolve accounts according to company’s policies and procedures.
Report any coding related denial to the Coding Specialist.
Performs other duties including but limited to faxing information as required, generating retroactive authorization requests, and verifying medical eligibility.
Conducts necessary research to ensure proper reimbursement of claims.

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