Insurance Specialist
Novant Health
Job Summary
Insurance Specialist
+ Communicate with payors and insurance companies via phone and portals to file claims, resolve issues, and manage appeals for denied claims
+ Analyze insurance plans to determine benefit coverage and verify patient insurance eligibility
+ Investigate and resolve insurance company-related issues to ensure accurate processing
+ Review open accounts for reconciliation and coordinate next steps to resolve outstanding balances
Responsibilities
It is the responsibility of every Novant Health team member to deliver the most remarkable patient experience in every dimension, every time.
+ Our team members are part of an environment that fosters team work, team member engagement and community involvement.
+ The successful team member has a commitment to leveraging diversity and inclusion in support of quality care.
+ All Novant Health team members are responsible for fostering a safe patient environment driven by the principles of "First Do No Harm".
Qualifications
+ Education: High School Diploma or GED, required. 2 Year / Associate Degree, preferred.
+ Experience: Minimum two years in medical billing or hospital coding, as a claims processor, medical claims for an insurance carrier, or Clerical/Billing experience in a medical office; preferred.
+ Additional Skills Required:
+ Excellent communication and organizational skills required. Ability to successfully complete generic and department specific skills validation and competency testing.
+ Must display excellent customer service skills and excellent computer skills.
+ Must be able to multi-task and be a team player.
+ Must be able to work overtime as required.
+ Must be self motivated, able to work independently without constant supervision and a critical thinker.
+ Must be flexible, able to meet deadlines and adaptable to change.
+ Ability to communicate effectively and professionally.
+ Detail oriented and strong organizational skills.
+ Aware of HIPAA laws.
+ Familiar with Microsoft Office Applications.
+ Must be able to manage time with tasks assigned.
+ Additional Skills Preferred:
+ Basic medical terminology.
+ Insurance guidelines.
Job Opening ID
105354
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