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Insurance Specialist at Rowan Diagnostic Clinic, PA
Salisbury, North Carolina, United States -
Full Time

Start Date

Immediate

Expiry Date

18 Mar, 26

Salary

0.0

Posted On

18 Dec, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Medical Billing Knowledge, Strong Analytical Skills, Excellent Communication Skills, Attention To Detail, Proficiency With Billing Software

Industry

Medical Practices

Description
Job Details Job Location: Salisbury, NC 28144 Denial management: Analyzing claim denials, identifying the reason for rejection, and taking appropriate actions such as correcting coding errors, submitting appeals, or contacting the payers for clarification. Reporting and analysis: Generating reports on accounts receivable trends, identifying areas for improvement, and proposing strategies to optimize collection rates. Compliance adherence: Staying current with healthcare regulations, including HIPAA and coding guidelines (ICD-10, CPT) to ensure accurate billing practices. Payer communication: Contacting insurance companies to resolve billing issues, clarify claim status, and advocate for timely payment. Qualifications Education: 2 Year / Associates Degree, preferred Other Skills: Medical billing knowledge: Thorough understanding of medical billing codes (CPT, ICD-10, HCPCS) and insurance payer guidelines. Strong analytical skills: Ability to review complex medical records and identify potential billing errors. Excellent communication skills: Effective communication with patients, insurance companies, and internal stakeholders to resolve billing issues. Attention to detail: High level of accuracy required to ensure correct claim submission and avoid billing errors. Proficiency with billing software: Familiarity with electronic health records (EHR) and billing systems to submit claims electronically. Expected Hours of Work: Monday – Thursday – 9 hr day (Friday half day)
Responsibilities
The Insurance Specialist will manage denial claims by analyzing rejections and taking corrective actions. They will also generate reports on accounts receivable trends and ensure compliance with healthcare regulations.