Medical Policy Specialist jobs in Fort Wayne, IN

Exciting Growth Ahead! Our team is expanding once again and we are seeking an exceptional individual to join our team. As a valued member of our Billing Department, you'll play a pivotal role in fulfilling our mission to aid those in need while contributing to the well-being and growth of children. If you’re someone who is self-motivated, friendly, reliable, trustworthy utilizing sound judgement, this may be the perfect job for you!

We are seeking the right candidate to tackle the following job responsibilities:

• Thoroughly audit (scrubbing) and process insurance claims
• Correctly interpret and process insurance Explanation of Benefits (EOBs)
• Analyzing A/R Aging reports to follow up with insurance companies for payment
• Engaging in proactive communication with patients, colleagues, and physicians to address any changes or discrepancies in billing
• Accurately posting payments
• Adhering to all organizational policies and procedures
• Assisting in the training of new team members when necessary
• Demonstrating exceptional communication skills in both verbal and written interactions, maintaining professionalism at all times

We are looking for an individual with the following skills:

• Proficiency in medical billing and coding, interpreting EOBs, aging reports and cash posting
• Ability to audit provider coding to ensure accurate level of service has been billed
• Organized and detail oriented coupled with excellent time management
• Ability to provide outstanding customer service to both internal and external customers thru strong verbal and written communication skills
• Capability to work independently and collaboratively, even under pressure to meet deadlines
• High School Diploma required; additional education in billing/coding is preferred. Coding certification is not mandatory but a plus

In addition, you must consistently adhere to compliance standards, including HIPAA and OSHA regulations, and fulfill all training and continuing education requirements related to compliance.

We offer health insurance, short term disability, 401(k), paid holidays, generous PTO, company sponsored outings, employee recognition, service awards, work-life balance and long-lasting friendships.

Job Type: Full-time

Benefits:

• 401(k)
• Health insurance
• Paid time off

Schedule:

• Monday to Friday

Work setting:

• Office

Application Question(s):

• How many years of medical billing and coding experience do you have?

Work Location: In person