Insurance Claims Specialist - Cape Coral, United States - Lee Health

Description

Location:Santa Barbara Professional Center -224 Santa Barbara BlvdCape Coral FL 33991

Department: Patient Business Office

Work Type: Full Time

Shift: Shift 1/8:00:00 AM to 4:30:00 PM

Minimum to Midpoint Pay Rate:$ $18.75 / hour

Summary

This position effectively processes insurance refunds from the assigned credit and refund correspondence work queues, to minimize the volume of credits that are left revolving on the Accounts Receivable.

Strives to achieve a minimum range of refunds and refund denials.

Review credit balances of payments, including review of the insurance EOBs, to accurately identity overpayments on accounts and issue refunds when appropriate.

Knowledge of Aetna, BCBS, Cigna, and UHC a plus. Candidate must have a friendly personality and possess excellent verbal and written communication skills. Possess a positive attitude that promotes collaborative interactions, with the ability to work independently and within a team environment. The ability to appropriately handle stress and complex issues is essential. Strong attention to detail and ability to multitask required

Requirements

Educational Requirements

Degree/Diploma Obtained
Program of StudyRequired/
Preferredand/or
High School Diploma or Equivalent
Requiredor

Experience Requirements

Minimum Years Required
Area of ExperienceRequired/
Preferredand/or

• 3 Years medical/financial healthcare or business office experience required.
• Knowledge of hospital billing and insurance terms.

Must have PC knowledge with proficiency in email, Microsoft Excel, and Microsoft Word.

State of Florida Licensure Requirements

Licenses
Required/
Preferredand/or
Not Required

Certifications/Registration Requirements

Certificates/Registrations
Required/
Preferredand/or


US:
FL:Cape Coral