Join an industry leader in dermatology services. The Insurance Reimbursement Specialist works in a team environment to interpret and evaluate denials to include follow-up with payers and insurance providers to assure timely turn around for claims resolution and reimbursement. This team works Monday - Friday, 8:00am-4:30pm CST. Individuals agreeable to this schedule will be considered regardless of their home time zone.
Responsibilities
Essential Functions
- Review payer reports to make sure all accounts are paid appropriately to reduce the total company accounts receivables
- Utilize web portals to investigate and critique insurance claims as necessary
- Regular phone interaction with insurance companies to resolve claim issues
- Complete appeals for unpaid insurance claims as necessary
- Ability to problem solve and think critically
- Assist with major insurance billing issues
- Daily phone interactions with patients and insurance companies while exercising exceptional customer service skills
- Regular interaction and investigation of patient accounts in our practice management and EHR software
- Review and complete other practice management reports as necessary
- Continuous education through written publications, meetings, and webinars is imperative
- Operate in a team oriented work environment
- Adherence to compliance and completion of compliance training.
Qualifications
Education
- Associate’s or Bachelor’s Degree in Business, Healthcare or closely related field is required.
- Will consider candidates with commensurate experience in processing appeals and working follow-up on medical claims.
- HS Diploma with 5+ years of experience in medical claims AR and Denials will also be considered
Knowledge, Skills and Abilities
- 2 years of recent medical office experience in a similar capacity is required
- Previous customer service experience is required
- Proficient in basic computer functions
- Ability to learn new software quickly
- Must possess excellent customer service, communication and organizational skills
- Ability to operate standard office equipment
- Understanding of CPT and ICD-10 coding and general medical terminology is required
- Must possess attention to detail
- Ability to multi-task, prioritize appropriately, and work well both individually and as part of a team
- Ability to respond positively to constructive criticism and direction from supervisors
- Must demonstrate professional appearance and manner at all times
- Must display a friendly, cheerful, tactful, and polite demeanor, and must be compassionate and caring in dealing with others
- Ability to maintain confidentiality of information
For this position, the base pay range is $18.50 - $20.00 per hour. Individual pay is determined by role, level, location, job-related skills, experience, and relevant education, certifications or training.
Forefront will never request personal information, such as your social security number or banking information, via text or email. In addition, Forefront does not use external messaging applications such as WireApp or Skype to communicate with candidates. If you receive communication or requests of this nature, delete them.
