Job Description

Responsibilities

• Ensure accurate processing of insurance and corporate claims, adhering to contracts for timely reimbursement.
• Provide customer support for insurance verification, eligibility, and preauthorization.
• Collaborate with staff to ensure accurate entry of insurance information and compliance with billing guidelines.
• Maintain organized records and manage claims correspondence with insurance and corporate clients.
• Track payments, manage outstanding balances, and support other departments in the revenue cycle process.
• Analyze claim adjustments, bad debt provisions, and develop reports for performance measurement.
• Contribute to the development and improvement of insurance guidelines and processes.
  

Qualifications

• Bachelor’s Degree in Finance, Accounting,Business Administration or related fields.
• At least 2 years of progressive career experience in Insurance environment in a hospital facility.
• Experience in Long Term Care and resubmissions
• Coding Certificate by AAPC or AHIMA is required.