Insurance Specialist or Insurance Specialist II
Listing for:
JCMG
Remote/Work from Home
position
Listed on 2026-11-13
Job specializations:
-
Healthcare
Job Description & How to Apply Below
Position:Insurance Specialist or Insurance Specialist II
Location: 1241 West Stadium Blvd
Jefferson City, MO
Remote Status: Remote
Job :2424
# of Openings:1
Position posted: 11/10/2026
Insurance Specialist I Responsibilities Job Specific Competencies- Handles telephone inquiries regarding insurance issues.
- Works daily correspondence from patients and insurance companies and handles inquiries appropriately and in a timely manner.
- Processes denials from insurance companies as appropriate according to coding and specific insurance policies and procedures.
- Processes aging reports according to established Central Business Office guidelines and maintain current report.
- Remains current with assigned insurance company publications and is knowledgeable regarding policies, procedures and coding guidelines for insurance company/network for which the representative is responsible.
- Research and handle insurance credit balances according to company and insurance procedures.
- Functions as a backup for other personnel in the office as needed.
- Performs other duties as assigned.
- Strives for continuous quality improvement.
- Participates in educational experiences designed to maintain and/or improve professional competence.
- Maintains high work ethic standards.
- Provides quality customer service to staff, patients and visitors at all times.
- High school diploma or GED
- Minimum two years of medical office practices to include working knowledge of ICD-9 and CPT coding
- Background in medical insurance billing preferred
- N/A
- Knowledge of medical billing/collection practices; basic medical coding; insurance agency operating procedures and practices.
- Skill with computer applications.
- Must possess strong interpersonal skills and have the ability to communicate effectively with patients, co-workers and management.
- Must be able to work effectively as a team member.
- Handles telephone inquiries regarding insurance issues.
- Works daily correspondence from patients and insurance companies and handles inquiries appropriately and in a timely manner.
- Process denials from insurance companies as appropriate according to coding and specific insurance policies and procedures.
- Process aging reports according to established Central Business Office guidelines and maintain current report.
- Remains current with assigned insurance company publications and is knowledgeable regarding policies, procedures and coding guidelines for insurance company/network for which the representative is responsible.
- Research and handle insurance credit balances according to company and insurance procedures.
- Remains current in coding guidelines and correct claims according to these guidelines if needed and notify Coder of these findings.
- Helps identify trends in coding denial and reports to Coding and Billing Manager.
- Functions as a backup for other personnel in the office as needed.
- Performs other duties as assigned.
- Strives for continuous quality improvement.
- Participates in educational experiences designed to maintain and/or improve professional competence.
- Maintains high work ethic standards.
- Provides quality customer service to staff, patients and visitors at all times.
- High school diploma or GED
- Minimum two years of medical office practices to include working knowledge of ICD-9/ICD-10 and CPT coding
- Background in medical insurance billing preferred
- Certified Professional Coder Certificate (CPC)
- Certified Coding Specialist (CCS)
- Knowledge of medical billing/collection practices; medical coding; insurance agency operating procedures and practices
- Skill with computer applications
- Must possess strong interpersonal skills and have the ability to communicate effectively with patients, co-workers and management
- Must be able to work effectively as a team member
Works in heated and air-conditioned area consistent with a normal office environment.
Benefits- Health insurance & employer paid short- and long-term disability
- Generous PTO policy, beginning at 148-hours annually
- Employer Retirement Plan (401K) with employer match
- Tuition reimbursement and other professional advancements, including a Medical Assistant training program
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