erification of insurance benefits if missed by front office
Able to research denied CPT codes with comparison to the LCD/NCD requirements
Effectively identifies trend that inhibit timely payment
Work average of 50 to 100 denials per day based on supervisor requirements and accounts assigned
Works closely with insurance carriers for reimbursement requirements to ensure payment
Reviews outstanding AR accounts and contacts insurance for reimbursement explanation.
Provides clear and accurate documentation of all contacts with any internal or external persons concerning patient accounts
Quickly becomes familiar with duties and performs them independently, accurately, efficiently, promptly, recognizing their importance and relationship to patient care
Consults with appeals department for disputed / denied claims.
Works / Understands electronic claim interchange
Understands life cycle of primary and secondary claims
Maintains front office support relationship
Takes incoming calls from insurance carriers and patients
Regular attendance and punctuality.
Contributes to team effort by accomplishing related results as needed.
Ensures that all processing and reporting deadlines are consistently achieved.
Perform any other functions as required by management.
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to
HR@insightglobal.com.
To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy:
https://insightglobal.com/workforce-privacy-policy/ .
Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.