Insurance Specialist – AR

🔥 10 hours ago

🌺 Hawaii – Remote

🌺 Hawaii – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

💰 Accounts Receivable

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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CorroHealth

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

🏥 Healthcare

⚕️ Healthcare Insurance

☁️ SaaS

Healthcare • Healthcare Insurance • SaaS

CorroHealth is a leading provider of clinically led healthcare analytics and technology-driven solutions, focused on enhancing the financial performance of hospitals and health systems. Their integrated solutions and advanced technologies aim to optimize the entire revenue cycle, offering services such as revenue cycle management, clinical documentation, medical coding, and denials management. With a commitment to improving financial health through intelligent technology and expert guidance, CorroHealth addresses complex payer-provider relationships and supports efficient healthcare operations.

📋 Description

• Resolve complex, higher-dollar unpaid/denied claims using proprietary software, phone calls, letters, client systems, and insurance carrier web portals • Identify and report trends during account resolution, including CPT/HCPCS errors or deletions, duplicate claims, revenue code mapping mismatches, missing charges, and claims not on file • Perform financial account assessments, including adjustments and NRP to patient • Complete rebill functions within client systems • Submit medical records and billing claims • Conduct patient assistance outreach • Obtain documents from client systems and update insurance plan codes • Review corrected claim requests and approve client assistance or correct bills within the client platform • Review and submit payment verification assistance requests • Maintain familiarity with client preferences and known issues across multiple client accounts • Support special projects for clients as needed • Perform other duties as assigned

🎯 Requirements

• High School Diploma or equivalent • 5+ years relevant industry experience in registration, billing, collections, required • 3+ years experience with insurance carrier claims resolution, required • 3+ years of Epic, Cerner, Meditech or other EMR experience preferred • Knowledge of UB04 claim forms, EOB’s and medical records required • ICD-9, ICD-10, CPT and HCPCS coding knowledge required • Ability to conduct detailed research to resolve complex claims • Intermediate mathematics skills (addition, subtraction, ability to identify trends, etc.) • Advanced knowledge of Excel and Power Point • Ability to compile and summarize data • Strong verbal and written communication skills • Ability to analyze and interpret complex documents, contracts, notes, and other correspondence • Ability to prioritize and multitask in a fast-paced environment • Ability to work effectively in a remote environment • Investigative mind set to identify issues and implement solutions.

🏖️ Benefits

• Competitive hourly salary • Equipment Provided • Medical/Dental/Vision Insurance • 401k program • PTO: 80 hours accrued, annually • 9 paid holidays • Tuition reimbursement • Professional growth and more!