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Insurance Specialist – AR
CorroHealth. Resolve complex, higher-dollar 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 complex insurance claims, utilizing knowledge of CPT/HCPCS coding, UB04 claim forms, and EMR systems. Proficient in data analysis and communication, with a strong ability to prioritize tasks in a fast-paced environment.
Highest-signal resume keywords
Claims ResolutionCPT/HCPCS Coding KnowledgeEpic/Cerner/Meditech EMR ExperienceAdvanced Excel SkillsStrong Verbal and Written Communication
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 ResolutionCPT CodingHCPCS CodingICD-9 CodingICD-10 CodingFinancial Account AssessmentData AnalysisRebill FunctionsMedical Records SubmissionTrend Identification
Soft Skills
Strong Communication SkillsAbility to MultitaskInvestigative MindsetDetail-OrientedAbility to Work Remotely
Tools & Technologies
Proprietary SoftwareClient SystemsInsurance Carrier Web PortalsExcelPowerPoint
Industry Keywords
Unpaid ClaimsDenied ClaimsEOBUB04 Claim FormsPatient Assistance OutreachRevenue Code MappingBilling ClaimsClient PreferencesAccount ResolutionFinancial Adjustments
About the role
Key responsibilities & impact- Resolve complex, higher-dollar unpaid/denied claims using proprietary software, phone calls, letters, client systems, and insurance carrier web portals
- Identify and report trends during account resolution, including CPT/HCPCS errors or deletions, duplicate claims, revenue code mapping mismatches, missing charges, and claims not on file
- Perform financial account assessments, including adjustments and NRP to patient
- Complete rebill functions within client systems
- Submit medical records and billing claims
- Conduct patient assistance outreach
- Obtain documents from client systems and update insurance plan codes
- Review corrected claim requests and approve client assistance or correct bills within the client platform
- Review and submit payment verification assistance requests
- Maintain familiarity with client preferences and known issues across multiple client accounts
- Support special projects for clients as needed
- Perform other duties as assigned
Requirements
What you’ll need- High School Diploma or equivalent
- 5+ years relevant industry experience in registration, billing, collections, required
- 3+ years experience with insurance carrier claims resolution, required
- 3+ years of Epic, Cerner, Meditech or other EMR experience preferred
- Knowledge of UB04 claim forms, EOB’s and medical records required
- ICD-9, ICD-10, CPT and HCPCS coding knowledge required
- Ability to conduct detailed research to resolve complex claims
- Intermediate mathematics skills (addition, subtraction, ability to identify trends, etc.)
- Advanced knowledge of Excel and Power Point
- Ability to compile and summarize data
- Strong verbal and written communication skills
- Ability to analyze and interpret complex documents, contracts, notes, and other correspondence
- Ability to prioritize and multitask in a fast-paced environment
- Ability to work effectively in a remote environment
- Investigative mind set to identify issues and implement solutions.
Benefits
Comp & perks- Competitive hourly salary
- Equipment Provided
- Medical/Dental/Vision Insurance
- 401k program
- PTO: 80 hours accrued, annually
- 9 paid holidays
- Tuition reimbursement
- Professional growth and more!