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
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