Insurance Claims Specialist

Accumulate data from Patient Access and Health Information Management for the purpose of submitting compliant third party insurance and physician claims. Initiate all collection calls for payment on aged accounts receivable up to the point of self-pay collections. Generates reports for responsible insurance plans and maintains online collection worklists and online claims editing software for maximum efficiency. Ability to decipher reimbursement schemes for assigned insurance's to complete the revenue cycle.

Compensation Pay Range: $21.05 - $29.45

Maintains up to date knowledge of all Federal, State and Insurance specific billing regulations, policies, procedures and code sets. Retains knowledge of Hospitals Credit Collection Policy. Notifies manager of any changes that would effect claim submission.

Evaluates daily claim file using online claim editing software for submission of UB92 and 1500 claim forms. Initiate claim ...