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Insurance Specialist
CorroHealth. Resolve unpaid/denied claims using proprietary software, phone calls, letters, client systems, and insurance carrier web portals .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in resolving unpaid and denied claims through the use of proprietary software and medical documentation analysis, while ensuring compliance with HIPAA privacy laws. Proficient in utilizing EMR systems such as Epic, Cerner, or Meditech to support efficient claims processing.
Highest-signal resume keywords
UB04 Claim Form KnowledgeEOB ReviewEpic EMR ExperienceStrong Communication SkillsHIPAA Compliance
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims ResolutionMedical Documentation AnalysisBasic Mathematics SkillsComputer ProficiencyRemote Work Capability
Soft Skills
Attention to DetailMultitasking AbilityOrganizational Skills
Tools & Technologies
Proprietary SoftwareEpicCernerMeditech
Certifications & Qualifications
High School Diploma or Equivalent
Industry Keywords
Accounts Receivable ExperienceHIPAA Privacy LawsMedical Records
About the role
Key responsibilities & impact- Resolve unpaid/denied claims using proprietary software, phone calls, letters, client systems, and insurance carrier web portals
- Review UB04 claim forms, EOB’s, medical records, and other medical documentation to determine claim resolution actions
- Maintain familiarity with client preferences and known issues
- Meet monthly production and quality expectations
- Comply with HIPAA privacy laws
- Perform other duties as assigned
Requirements
What you’ll need- High School Diploma or equivalent
- At least one year of physician and/or hospital AR experience preferred
- Knowledge of UB04 claim forms, EOB’s and medical records preferred
- At least one year of Epic, Cerner, Meditech or other EMR experience preferred
- Knowledge of basic computer functions
- Ability to work effectively in a remote environment
- Strong verbal and written communication skills
- Basic mathematics skills (addition, subtraction, calculate percent, etc.)
- Ability to analyze and interpret documents, contracts, notes, and other correspondence
- Ability to multitask in a fast-paced environment
- Organization skills with a strong attention to detail
- Ability to perform work at a computer terminal for 6-8 hours a day
- Ability to lift and move material weighing up to 20 lbs. infrequently
- Compliance with HIPAA privacy laws
Benefits
Comp & perks- Remote work arrangement
- Professional development and personal growth opportunities