Insurance Specialist

CorroHealth
3dRemote

About The Position

About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals. We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. JOB SUMMARY: Insurance Specialists are responsible for accurately identifying insurance claims denials and/or claims processing errors to resolve accounts. CorroHealth sits at the center of the revenue cycle revolution. Fundamental operations of the revenue cycle are supported through our expert teams while we recast the role of clinicians through automation. This shift to a true clinical revenue cycle helps us achieve our core purpose – exceed client financial health goals. For each patient population, CorroHealth automates key clinical aspects of the cycle. Our platforms focus on capture and application of clinical documentation while easing the burden on physicians. Scalability is prioritized in the support of client program operations. As with most revenue cycle partners, our skilled and enthusiastic team is available to outsource any portion of the cycle. However, we can also complement client programs with additional expert support or upskill existing client teams to meet program demands. Whether our team is deployed directly, or automation is incorporated for a more programmatic solution, CorroHealth delivers. CorroHealth has acquired Xtend Healthcare! For more information, please visit https://corrohealth.com. Applicants will only receive job-related emails from the domain @corrohealth.com. Additionally, it is important to emphasize that CorroHealth will never ask for money in return for a job offer.

Requirements

  • High School Diploma or equivalent
  • Knowledge of basic computer functions
  • Ability to work effectively in a remote environment
  • Strong verbal and written communication skills
  • Basic mathematics skills (addition, subtraction, calculate percent, etc.)
  • Ability to analyze and interpret documents, contracts, notes, and other correspondence
  • Ability to multitask in a fast-paced environment
  • Organization skills with a strong attention to detail

Nice To Haves

  • At least one year of physician and/or hospital AR experience preferred
  • Knowledge of UB04 claim forms, EOB’s and medical records preferred
  • At least one year of Epic, Cerner, Meditech or other EMR experience preferred

Responsibilities

  • Resolve unpaid/denied claims by leveraging proprietary software system, making phone calls, generating letters, accessing client systems and insurance carrier web portals in the pursuit of getting a claim resolved.
  • Review medical documentation such as UB04 claim forms, EOB’s and medical records to determine the appropriate course of action for claim resolution.
  • Maintain familiarity with client preferences and known issues.
  • Meet monthly production and quality expectations.
  • Comply with HIPAA privacy laws.
  • Other duties as assigned.
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