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Insurance Claims Specialist in Orlando at Collabera

Date Posted: 9/21/2018

Job Snapshot

  • Employee Type:
    Contractor
  • Location:
    Orlando
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
    9/21/2018

Job Description

PRINCIPAL DUTIES AND JOB RESPONSIBILITIES:
Demonstrates, through behavior, Florida Hospital’s core values of Integrity, Compassion, Balance, Excellence, Stewardship, and Teamwork.
• Works with insurance payers to ensure proper reimbursement on patient accounts to expedite resolution. Processes administrative appeals, refunds, reinstatements and rejections of insurance claims.
• Completes account follow up daily, maintaining established goal (s), and notifies Lead Rep, when necessary, of issues preventing achievement of such goal(s).
• Analyzes daily correspondence (denials, underpayments) to appropriately resolve issues. Responds to written correspondence received from payer and/or patients.
• Assists customer service area with patient concerns/questions to ensure prompt and accurate resolution is achieved.
• Analyzes previous account documentation, in order to determine appropriate action(s) necessary to resolve each assigned account. Initiates next billing, follow-up and/or collection step(s), not limited to calling patients, insurers or employers, as appropriate. Remits initial or secondary bills to insurance companies.
• Documents the billing, follow-up and/or collection step(s) that are and all measures to resolve assigned accounts, including escalation to Supervisor if necessary.
• Remains in consistent daily communication with Insurance Reimbursement Supervisor and Lead Insurance Reimbursement Specialist regarding all aspects of assigned projects.
• Adheres to HIPAA regulations by verifying pertinent information to determine caller authorization level receiving information on account.

Job Requirements

KNOWLEDGE AND SKILLS REQUIRED:
• Ability to use discretion when discussing personnel/patient related issues that are confidential in nature
• Ability to be responsive to ever-changing matrix of hospital needs and acts accordingly
• Ability to communicate professionally and effectively in English, both verbally and in writing

EDUCATION AND EXPERIENCE PREFERRED:
• High school diploma or GED