Gestionnaire en assurance for the Operations Direction managing health contracts for 2.16 million insured. Supporting claims management and assisting clients with their inquiries.
About the role
- Insurance Denial Specialist responsible for daily monitoring of Accounts Receivable recovery for Iowa Orthopedic Center. Collaborate with team members to provide exceptional medical care and customer service.
Responsibilities
- Answer insurance questions
- Work patient accounts
- Work the Clearinghouse rejections
- Carry out special projects as assigned and other duties as assigned
- Denial Work Log adjustments
- Review and approve payer and patient refund requests
- Other adjustments and audits as assigned (prompt pay, admin, work comp, etc.)
- Assist with other duties as assigned
- Responsible for the assigned payerAR
Requirements
- Knowledge of daily, monthly, yearly process of the insurance patient account representative position
- Knowledge of CPT/ ICD-9/ HCPC with regards to auditing accounts for correct reimbursement
- Prior experience with workers' compensation preferred
- Excellent communication skills including the ability to demonstrate strong customer service over the phone and in person
- Basic computer skills; Microsoft Office Suite (Excel, Outlook, Word)
- Ability to utilize web tools, fee schedules, and insurance correspondence to work accounts efficiently and timely
- Excellent communication skills
Benefits
- Competitive pay
- Health
- Dental
- Paid time off
- Paid holidays
- 401(k) with company match
- Profit-sharing
- Employee discounts
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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