INSURANCE SPECIALIST (7373)
Job Posting for INSURANCE SPECIALIST (7373) at Cullman Regional Medical Center
Insurance Specialist
The Insurance Specialists carry many different responsibilities, which include reviewing patient records using medical coding procedures. They examine the claims and verify insurance eligibility, as well as record any medical charges and other payments or adjustments. This person is also responsible for detecting any coding errors or performing any modifications needed.
Essential Job Functions
The Insurance Specialists carry many different responsibilities, which include reviewing patient records using medical coding procedures. They examine the claims and verify insurance eligibility, as well as record any medical charges and other payments or adjustments. This person is also responsible for detecting any coding errors or performing any modifications needed.
Essential Job Functions
- Performs follow up activity on aging patient billing and claims via payor website or telephone
- Update and obtain medical authorization for payment from insurers.
- Obtain information needed to secure payment from third party insurances.
- Escalates problem accounts to PFS Manager or Rev Cycle Director
- Follows all work processes, procedures, while maintaining compliance to the organization’s rules and regulations.
- Deliver high-quality results in accordance with standards.
- Protect and keep all patient and hospital information confidential. Uphold and promote patient safety and quality.
- Following all HIPAA, JCAHO, state, and federal laws and standards
- Accepts ownership for all tasks and responsibilities while improving the company’s reputation.
- Demonstrates and encourages team behavior and exceptional patient/guest experiences.
- Upholds and promotes patient safety and quality
- High School Diploma or GED
- Associate Degree desired
- Knowledge of payor regulations is required
- Minimum of 5 years’ experience in a hospital patient accounting setting
- Above average critical thinking, communication, and analytical skills
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Job openings at Cullman Regional Medical Center
Cullman Regional Medical Center
Cullman, AL
Full Time
Cullman Regional Medical Center
Cullman, AL
Full Time
Cullman Regional Medical Center
Cullman, AL
Full Time
Cullman Regional Medical Center
Cullman, AL
Full Time
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