Insurance Reviewer II

Emploi pas sur LinkedIn

🕒 il y a 20 jours

🌽 Illinois – Distant

🌽 Illinois – Remote

💵 $18 - $26 / heure

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

🔒 Assurance

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Recruit CRM

Site WebLinkedInTous les Emplois

201 - 500 employés

Fondée en 2017

👥 RH Tech

🤖 Intelligence artificielle

☁️ SaaS

HR Tech • Artificial Intelligence • SaaS

Recruit CRM est un logiciel de recrutement alimenté par l'IA, facile à utiliser, qui permet aux agences de recrutement dans plus de 100 pays de rationaliser leurs flux de travail, d'améliorer leur précision et de sécuriser rapidement les meilleurs talents grâce à des fonctionnalités d'automatisation telles que l'analyse des CV, le rapprochement des candidats et les personnalisations des flux de travail. Conçu pour être facile à utiliser, il s'intègre à de nombreuses applications et offre des analyses complètes pour soutenir les processus de recrutement à l'échelle mondiale.

Description

• 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.

🎯 Exigences

• 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.

🏖️ Avantages

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