Insurance Specialist

Job Description:

• Assist the collections team towards department goals of increasing cash collections and improving reimbursement rates
• Work on any claim, regardless of aging, with both commercial and government payers
• Review EOB's
• Ensure daily productivity and quality standards are met
• Assist with training and coaching to ensure all team members are operating at full potential
• Create notes on the patients account for auditing and actions taken per the Standard Operating Procedures or as outlined by the team manager
• Work the total patient accounts outstanding A/R including credits and denials to reduce A/R aging buckets per the department’s goals
• Work hand in hand with the other team members to correct errors
• Send corrected claims and appeals based on payer guidelines in a timely manner
• Other projects as assigned

• High school diploma plus some college preferred
• Knowledge of CPT codes, medical terminology, insurance plans, ICD 10 codes
• Must have ability to adapt to a fast paced, dynamic environment
• Must understand different payer plans collections process, Xifin knowledge preferred
• 1-2 years’ experience in a clinical laboratory preferred, especially genetic billing
• 1-2 years’ experience in working denials

• Medical
• Dental
• Vision
• FSA
• Paid sick leave
• Generous paid time off (PTO) program