Job ID: 24417
Category: Billing & Health Information
Facility: Community Care Network, Inc. (Physician Practice)
• Patient Accounting
Schedule: Full-time
• Days
• 8:30-5pm
• 80
Location: Munster, IN
Position: Insurance Review Specialist
Location: St. John Outpatient Center, St. John, IN 46373
Job Summary:
Under the insurance review team's supervision, the Insurance Review Specialist will interact daily with patients, insurance carriers, and system staff members to ensure claims are submitted and accepted in a timely manner. Insurance Review Specialists work on follow-up work queues and performs outstanding claim tracking, denial management, claim appeals, and retro-adjudication. Insurance Review Specialists will pursue accounts receivable balance resolution, statement processing, self-pay follow-up, and bad debt processes.
Education/ Experience Requirements:
• High School graduate (or GED equivalent).
• 1-2 years insurance or medical billing experience preferred; Physician practice setting strongly preferred.
• Possess in-depth knowledge of medical terminology; and of the CPT, ICD-9-CM, ICD-10-CM, and HCPCS coding systems.
• Comprehension of government and third party billing regulations required.
• Must be able to utilize Microsoft office applications, perform internet navigation and research, and have prior experience using a computerized health information system.
• Needs to be familiar with operating general office equipment, including but not limited to: scanner, fax machine, photocopy machine, printer and adding machine.
• Ability to multi-task efficiently and effectively.
• Must be able to act calmly and effectively in a busy or stressful situation.
• Excellent attitude, interpersonal skills and communication abilities necessary to interact with patients, family members, physicians, and other hospital associates.
