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    Insurance Review Specialist - St John, United States - Community Foundation of Northwest Indiana

    Community Foundation of Northwest Indiana
    Community Foundation of Northwest Indiana St John, United States

    1 day ago

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    Description
    Position:
    Insurance Review Specialist

    Location:
    St. John Outpatient Center, St. John, IN 46373

    Job Summary:

    Under the insurance review team's supervision, the Insurance Review Specialist will interact daily with patients, insurance carriers, and system staff members to ensure claims are submitted and accepted in a timely manner.

    Insurance Review Specialists work on follow-up work queues and performs outstanding claim tracking, denial management, claim appeals, and retro-adjudication. Insurance Review Specialists will pursue accounts receivable balance resolution, statement processing, self-pay follow-up, and bad debt processes.

    Education/ Experience Requirements:


    • High School graduate (or GED equivalent).
    • 1-2 years insurance or medical billing experience preferred; Physician practice setting strongly preferred.
    • Possess in-depth knowledge of medical terminology; and of the CPT, ICD-9-CM, ICD-10-CM, and HCPCS coding systems.
    • Comprehension of government and third party billing regulations required.
    • Must be able to utilize Microsoft office applications, perform internet navigation and research, and have prior experience using a computerized health information system.
    • Needs to be familiar with operating general office equipment, including but not limited to: scanner, fax machine, photocopy machine, printer and adding machine.
    • Ability to multi-task efficiently and effectively.
    • Must be able to act calmly and effectively in a busy or stressful situation.
    • Excellent attitude, interpersonal skills and communication abilities necessary to interact with patients, family members, physicians, and other hospital associates.


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