Abrar Admin

World Travel & Connect

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 Medical Data Systems Inc. is seeking a detail-oriented and motivated
 
 Insurance Specialist
 
 to join our insurance support and billing team. The ideal candidate will demonstrate professionalism, independence, and a strong understanding of insurance processes while thriving in a fast-paced environment.
 
 
 
 Key Responsibilities
 
 
 
 <ul>
 <li>
 Perform insurance follow-up activities, including claim submission, claim status inquiries, and filing appeals for denied claims
 </li>
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 Process a high volume of detailed account information accurately and within established performance guidelines
 </li>
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 Navigate multiple systems to obtain insurance, contact, and attorney information as needed
 </li>
 <li>
 Support the prioritization of collections efforts by accurately updating account data and identifying next steps
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 Maintain the highest level of confidentiality and adhere to all HIPAA regulations
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 Apply hospital billing knowledge to carry out assigned duties efficiently
 
 
 </li>
 </ul>
 
 Essential Duties
 
 
 
 <ul>
 <li>
 Complete insurance-related tasks such as correcting and resubmitting claims, filing appeals, and contacting insurance companies, attorneys, or patients regarding outstanding balances
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 Work assigned facility-specific queues, ensuring all accounts are updated with correct and complete information
 </li>
 <li>
 Participate in special projects or assignments as directed
 </li>
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 Assist colleagues and management by providing information or support related to insurance processes when needed
 
 
 </li>
 </ul>
 
 Qualifications
 
 
 
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 <li>
 3-5 years of experience in a healthcare setting such as a hospital business office, surgery center, physician practice, or health insurance organization
 </li>
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 Strong communication skills, attention to detail, and self-motivation
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 Proficient knowledge of insurance processes, including claim submission, claim denials, HCPCS/CPT/ICD-10 coding basics, and claim status inquiries
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 Familiarity with Medicare/Medicaid, Commercial, Auto, Workers&rsquo; Compensation, Liability, Crime Victims, and State/Federal Insurance Programs
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 Experience with medical billing and collection practices, business office procedures, and multi-system computer navigation
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 Ability to type at least 55 words per minute
 </li>
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 High School Diploma or GED required; some college preferred
 
 
 </li>
 </ul>
 
 Position Details
 
 
 
 <ul>
 <li>
 Employment Type: Full-Time
 
 
 </li>
 </ul>
 Powered by JazzHR
 
 
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Appeals Specialist

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Appeals Specialist