Insurance Specialist

Job Overview
We are seeking a dynamic and detail-oriented Insurance Specialist to join our healthcare team. In this role, you will be responsible for managing medical coding, billing, and insurance claims processes to ensure accurate reimbursement and compliance with industry standards. Your expertise will help streamline operations, improve revenue cycle management, and enhance patient satisfaction. This position offers an exciting opportunity to work in a fast-paced environment where your skills directly impact the efficiency of healthcare delivery.

Duties

• Review and interpret medical records to assign appropriate diagnosis codes (ICD-9, ICD-10) and procedure codes (CPT, DRG) for billing purposes
• Ensure accurate medical coding by applying knowledge of medical terminology, ICD coding systems, CPT coding, and DRG classifications
• Prepare and submit insurance claims using Electronic Medical Record (EMR) or Electronic Health Record (EHR) systems, verifying all information for accuracy
• Follow up on unpaid or denied claims through effective medical collection strategies and communicate with insurance companies to resolve discrepancies
• Maintain detailed documentation of medical records, billing activities, and correspondence related to insurance claims
• Stay current with industry regulations, updates in ICD coding standards, and changes in insurance policies to ensure compliance
• Collaborate with healthcare providers and administrative staff to clarify documentation requirements and optimize billing processes

Qualifications

• Proven experience in medical coding, billing, or insurance claim processing within a healthcare setting
• Strong knowledge of ICD-9, ICD-10 coding systems and CPT coding procedures
• Familiarity with DRG classifications and their application in hospital billing processes
• Experience working with EMR/EHR systems and medical records management software
• Excellent understanding of medical terminology, healthcare documentation standards, and insurance reimbursement procedures
• Ability to handle sensitive patient information with confidentiality and professionalism
• Strong organizational skills with attention to detail to ensure accuracy in coding and billing tasks

Join us as an Insurance Specialist and become a vital part of a dedicated team committed to delivering exceptional healthcare services. Your expertise will drive operational excellence while supporting our mission to provide quality care through precise billing practices.

Pay: $48,203.98 - $58,052.11 per year

Benefits:

• Flexible schedule

Work Location: Remote