We are seeking an Acute Hospital Insurance Specialist 3 to help resolve complex, higher-dollar unpaid/denied claims. The ideal candidate will have 5+ years of relevant industry experience and knowledge of UB04 claim forms, EOB's, and medical records.
Requirements
- High School Diploma or equivalent
- 5+ years relevant industry experience in registration, billing, collections
- 3+ years experience with insurance carrier claims resolution
- 3+ years of Epic, Cerner, Meditech or other EMR experience
- Knowledge of UB04 claim forms, EOB's and medical records
- ICD-9, ICD-10, CPT and HCPCS coding knowledge
- Ability to conduct detailed research to resolve complex claims
- Intermediate mathematics skills
- Advanced knowledge of Excel and Power Point
- Ability to compile and summarize data
- Strong verbal and written communication skills
- Ability to analyze and interpret complex documents, contracts, notes, and other correspondence
- Ability to prioritize and multitask in a fast-paced environment
- Ability to work effectively in a remote environment
- Investigative mind set to identify issues and implement solutions
Benefits
- Paid Time Off
- 401k Matching
