INSURANCE SPECIALIST (10322)

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Join to apply for the INSURANCE SPECIALIST (10322) role at Cullman Regional Medical Center 2 days ago Be among the first 25 applicants Join to apply for the INSURANCE SPECIALIST (10322) role at Cullman Regional Medical Center Get AI-powered advice on this job and more exclusive features. Identifies status on unpaid 3rd party claims in a timely manner. Uses most effective tools to obtain status so that effectiveness and productivity are maximized. Communicates payment expectations and removes payers stall tactics in a firm but professional manner. Reports problem accounts and/or consistent slow payers to management and provides examples. Involves the patient and/or insured to obtain information needed by payers to process the claim. Conducts three-way calls between patients and payers to address obstacles in getting claims processed. Obtains, or assists in obtaining, any additional documentation needed by a payer to process a claim. Works with their billing partner to identify trends in billing errors, so the edits can be developed to increase clean claim rate. Accurately and thoroughly documents all pertinent events regarding the account. Demonstrates and encourages team behavior and exceptional patient/guest experiences. Upholds and promotes patient safety and quality.
Job Summary
Identifies status on unpaid 3rd party claims in a timely manner. Uses most effective tools to obtain status so that effectiveness and productivity are maximized. Communicates payment expectations and removes payers stall tactics in a firm but professional manner. Reports problem accounts and/or consistent slow payers to management and provides examples. Involves the patient and/or insured to obtain information needed by payers to process the claim. Conducts three-way calls between patients and payers to address obstacles in getting claims processed. Obtains, or assists in obtaining, any additional documentation needed by a payer to process a claim. Works with their billing partner to identify trends in billing errors, so the edits can be developed to increase clean claim rate. Accurately and thoroughly documents all pertinent events regarding the account. Demonstrates and encourages team behavior and exceptional patient/guest experiences. Upholds and promotes patient safety and quality.
Education
High school diploma required or equivalent.
Experience
3 years of hospital business office or physician office preferred.
Additional Skills/Abilities
Must be proficient in Microsoft Office Suite of products. Knowledge of ICD, CPT, revenue codes and modifiers is required. Familiarity with payer website and portals is preferred. Seniority level Seniority level Entry level Employment type Employment type Full-time Job function Job function Other Industries Hospitals and Health Care Referrals increase your chances of interviewing at Cullman Regional Medical Center by 2x Sign in to set job alerts for Insurance Specialist roles. REGISTRATION SPECIALIST - FT OB/GYN (10032) Cullman, AL $43,888.00-$150,000.00 1 week ago Were unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. #J-18808-Ljbffr
Location:
Cullman, AL, United States
Job Type:
FullTime
Category:
Office And Administrative Support Occupations

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