Careers

Insurance Review Specialist - Clinic in Munster, IN at Community Healthcare System

Date Posted: 11/1/2018

Job Snapshot

Job Description

Job ID:  22507

Category:    Billing & Health Information

Facility:    Community Care Network, Inc. (Physician Practice) • Patient Accounting

Schedule:    Full-time • Days • M-F 8:30am-5pm • 80

Location:  Munster,  IN


Position: Insurance Review Specialist

Location: Billing Office - 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.

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