Overview:
Insurance Specialist
* Communicate with payors and insurance companies via phone and online portals to file claims, resolve claim issues, and appeal denied claims.
* Analyze insurance plans to verify patient coverage and determine applicable benefits.
* Research and troubleshoot insurance company issues to facilitate timely claim processing.
* Review open patient accounts to reconcile balances and determine appropriate next steps to resolve outstanding amounts.
Responsibilities:
It is the responsibility of every Novant Health team member to deliver the most remarkable patient experience in every dimension, every time.
* Our team members are part of an environment that fosters team work, team member engagement and community involvement.
* The successful team member has a commitment to leveraging diversity and inclusion in support of quality care.
* All Novant Health team members are responsible for fostering a safe patient environment driven by the principles of "First Do No Harm".
Qualifications:
* Education: High School Diploma or GED, required. 2 Year / Associate Degree, preferred.
* Experience: Minimum two years in medical billing or hospital coding, as a claims processor, medical claims for an insurance carrier, or Clerical/Billing experience in a medical office; preferred.
* Additional Skills Required:
* Excellent communication and organizational skills required. Ability to successfully complete generic and department specific skills validation and competency testing.
* Must display excellent customer service skills and excellent computer skills.
* Must be able to multi-task and be a team player.
* Must be able to work overtime as required.
* Must be self motivated, able to work independently without constant supervision and a critical thinker.
* Must be flexible, able to meet deadlines and adaptable to change.
* Ability to communicate effectively and professionally.
* Detail oriented and strong organizational skills.
* Aware of HIPAA laws.
* Familiar with Microsoft Office Applications.
* Must be able to manage time with tasks assigned.
* Additional Skills Preferred:
* Basic medical terminology.
* Insurance guidelines.
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