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Insurance Specialist
Inland Imaging. Address large volumes of unpaid or incorrectly paid claims to secure reimbursement .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in medical billing processes, including claim submission, appeals, and patient account management, while ensuring compliance with HIPAA and Joint Commission standards. Proficient in utilizing various billing software and maintaining confidentiality in a fast-paced environment.
Highest-signal resume keywords
Medical Billing ExperienceCPT CodingICD-9 CodingIDX Flowcast BARCustomer Service Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Medical BillingClaim SubmissionClaims ReviewAppeals ProcessPayer Refund ProcessingCPT CodingICD-9 CodingPatient Accounts ManagementDetail OrientationMultitasking
Soft Skills
Excellent CommunicationInterpersonal SkillsOrganizational Skills
Tools & Technologies
Microsoft OfficeKronosRepliconIDXMeditechCode CorrectGateway EDIImagecast
Certifications & Qualifications
High School Diploma/GEDValid State Driver’s License
Industry Keywords
HIPAA ComplianceJoint Commission StandardsPatient Claims ProcessingInsurance ClaimsConfidentiality
About the role
Key responsibilities & impact- Address large volumes of unpaid or incorrectly paid claims to secure reimbursement
- Perform medical billing functions for third-party claims
- Review unpaid claims and straightforward denials; appeal, correct, and resubmit claims when necessary
- Follow up with insurance companies regarding unpaid or incorrectly paid services
- Help patients understand insurance claim processing
- Assist patients with collection questions when the Collections Specialist is unavailable
- Write off uncollectible balances up to $500, dependent on experience
- Resolve claim edits before claim submission
- Review and process payer refunds
- Research and resolve minor patient complaints and credit balances
- Complete special projects and other assigned duties
- Maintain confidentiality and comply with Joint Commission, HIPAA, and PHI requirements
- Rotate to other shifts and locations as needed
Requirements
What you’ll need- High School Diploma/GED required
- Valid state driver’s license and proof of insurance
- Patient accounts billing experience desired
- Working knowledge of IDX Flowcast BAR preferred
- CPT and ICD-9 coding experience preferred
- Good customer service skills
- Excellent communication and interpersonal skills
- Detail-oriented, able to multitask, organized, and able to work in a fast-paced environment
- Experience with Microsoft Office (Outlook, Word, Excel), Kronos, Replicon, Internet, Intranet, IDX, Meditech, Code Correct, Gateway EDI, and Imagecast highly desired
- Must pass a background check required by RCW 43.43.830-840
- Must not be included on the HHS OIG List of Excluded Individuals
- Eligible employees must pass a post-offer, pre-employment drug test, including marijuana
- Ability to maintain strict confidentiality
- Attendance is required
- Ability to rotate to other shifts and locations as needed
Benefits
Comp & perks- Full-time, regular employment
- Remote work Monday-Friday
- Continuing education through professional journals and approved seminars
- Reasonable accommodations for individuals with disabilities
- Equal employment opportunity