Billing Specialist Insurance Division

Company: Absolute Companies
Location: Canton
Posted on: May 28, 2023

Job Description:

Insurance Billing Specialist Insurance DivisionBilling Reimbursement SpecialistPOSITION SUMMARY:The Billing Reimbursement Specialist is responsible for ensuring cash flow for services provided. The individual in this position may cross train in more than one area of A/R Management. In general, the Representative is responsible for communicating understanding payer specific billing rules related to certain specialties including DME and Medications, The Representative may also be responsible for the timely follow up of open claims for their assigned insurance carriers, correcting claim rejections, reviewing denied claims, filing appeals and working special projects.PRIMARY DUTIES AND RESPONSIBILITIES:Ability to analyze and review insurance billing requirementsUnderstanding insurance payments and copaysCommunications with responsible parties on balance dueReview Mits for pending MedicaidPlace monthly orders for suppliesLoading and reviewing DemographicsWork with social workers and facilities on Act 52'sReview accounts for Insurance correctionsCommunicate with Facilities on cut reviewsAbility to communicate clearly in emails/notes providing information needed for account resolutionPerform special projects as neededEXPECTATIONS OF EMPLOYEE:High school education or equivalent requiredAbility to Lift 25 lbsMedical billing experience preferredStrong communication skills both written, verbal and presentationComputer skills including excel

Keywords: Absolute Companies, Canton , Billing Specialist Insurance Division, Accounting, Auditing , Canton, Ohio