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AR Insurance Specialist
Location
Colorado
Posted
82 days ago
Salary
$24 - $27 / hour
Seniority
Senior
Job Description
AR Insurance Specialist
Center for Healthy Aging
• Performs A/R insurance follow up on rejected and denied insurance claims to ensure timely and accurate payment. • Communicates effectively with all levels - patients, co-workers, supervisors and physicians, both verbally and in writing using the AIDET framework. • Provides excellent customer service to internal and external customers through prompt response and courteous communication within 24 hours of the request. • Works denied or rejected claims daily through correspondence, practice management tasking system and claims clearinghouse. • Maintains not started and follow up tasks with payers according to timely filing, follow up dates, and worklog manager to ensure prompt collections and avoid timely denials. • Places refunds on the refund spreadsheet for disbursement as needed per POSC and payer policy. • Ability to write effective appeal letters and claim reconsideration requests using payer policy, coding guidelines and other reputable sources to overturn denials and ensure proper claim payment. • Ability to interact with patients, co-workers, physicians and management team to explain EOBs, accounts, and insurance rules/regulations such as deductibles, co-pays & coinsurance. • Researches payer guidelines as needed to ensure proper claim payment and provide feedback to teams in the business office. • Monitors electronic postings by payers to update teams on policy changes. • Attends meetings and huddles as assigned. • Assists team members as needed.
Job Requirements
- High School Diploma preferred.
- Strong customer service skills.
- AR insurance claims follow up experience.
- Experience writing complex appeals.
- Working knowledge of practice management, EMR, and claims clearinghouses.
- Excellent interpersonal communication skills.
- Ability to maintain quality control standards.
- Ability to meet deadlines.
- Ability to multi-task.
- Ability to establish and maintain effective working relationships with patients, employees and the public.
Benefits
- Healthcare Options : PPO, HDHP, and Surest plans with a $100/month tobacco-free discount
- Dental & Vision Insurance
- 401(k) with Annual Employer Contributions
- Additional Coverage : HSA/FSA, short- and long-term disability, life and AD&D, legal assistance, and more
- Employee Assistance Program (EAP) : Employer-paid support for life’s challenges
- Generous Paid Time Off : Up to 4 weeks of PTO starting out. (Increases with tenure) 7 paid holidays + 2 floating holidays
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