Position Summary:

Fulfills all requirements of Insurance Specialist I, as well as serving as a group leader by participating in staffing and employment issues. Serves as a resource specialist within the department. Trains Insurance Billing Specialists I and related support staff. Works closely with Director, Manager, Supervisor and Application Analyst on day to day priorities and to maintain a high level of integrity within the unit. Takes the necessary action to complete all types of complex insurance billings and appeals. Reviews and analyzes the insurance processing procedures to identify potential problem areas and makes suggestions for more streamlined processing. Prepares reports as required and requested. Works with insurance payers on problem claims and processes. Resolves outstanding Accounts Receivable and credit balances as assigned.

Education:

High school diploma or equivalency required.

CPC, CCA, RHIA, RHIT certification ...