Insurance Reviewer II

Vaga não está no LinkedIn

🕒 Junho 4

🌽 Illinois – Remoto

🌽 Illinois – Remote

💵 $18 - $26 / hora

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

🔒 Seguros

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Recruit CRM

SiteLinkedInTodas as Vagas

201 - 500 funcionários

Fundada em 2017

👥 RH Tech

🤖 Inteligência Artificial

☁️ SaaS

HR Tech • Artificial Intelligence • SaaS

Recruit CRM é um software de recrutamento fácil de usar, alimentado por IA, que capacita agências de recrutamento em mais de 100 países. Ele simplifica os fluxos de trabalho, aumenta a precisão e garante a captação de talentos de alto nível rapidamente através de recursos automatizados, como análise de currículos, correspondência de candidatos e personalizações de fluxo de trabalho. Projetado para facilidade de uso, integra-se com várias aplicações e oferece análises abrangentes para apoiar processos de recrutamento globalmente.

Descrição

• Handle all phone calls and messages received specific to designated insurance area • Update registration screens when requested by patients or as necessary • Review and process all designated insurance vouchers received • Rebilling charges not paid and processing adjustments as needed utilizing websites or telephone as necessary • Process all secondary billing as requested by patients or defined by procedure • Distribute incoming insurance mail received and respond to all audits, inquiries and additional information requests • Process corrections/adjustments as necessary to correct the patient's invoice • Process designated insurance reviews when requested to obtain additional payments on claims • Analyze and process front-end system edits for correct physician productivity and billing of claims • Analyze and process back-end system edits for correct registration and billing of claims • Analyze and process claims denied through clearinghouse • Investigate and process claims in the insurance work files and/or on the insurance reports • Must report all incidents to immediate Supervisor or Manager • Assist with special projects and assignments as directed • Must attend in-services and training relevant to position • Provide excellent customer service and adhere to SC Way customer service philosophy.

🎯 Requisitos

• High School graduate or GED required • Previous experience in a medical billing office required • Working knowledge of medical terminology preferred • Working knowledge of CPT and ICD-9 coding preferred • Computer, typing and calculator skills required • Must be able to work individually or on a team.

🏖️ Benefícios

• Comprehensive list of all benefits offered at SC: https://www.springfieldclinic.com/benefits