[Hiring] Insurance Claims Processor I @United Regional

Role Description

The role involves managing insurance claims and ensuring accurate billing processes for hospital and physician services.

• Files insurance claims on the UB-04 and CMS 1500 form.
• Computes insurance benefits, allowances, adjustments, and patient balances.
• Processes, traces, and verifies reimbursement from payers.
• Displays positive customer relations with other departments, patients, and insurance companies.
• Work from home available after 60-90 days of on-the-job training.

Qualifications

• High school graduate or equivalent.
• 1 to 2 years billing and/or claims follow-up experience preferred.
• Knowledge of insurance and medical terminology.
• Effective communication skills in English, both verbally and in writing.

Requirements

• Knowledge in all areas of insurance, including analysis and compilation of billing data.
• Familiarity with filing practices for all third-party payers.
• Ability to compute insurance benefits, allowances, adjustments, and patient balances.
• Understanding of the appeal process for government payers.
• Ability to analyze payment practices of governmental payers.
• Demonstrate diligence, patience, and persistence in obtaining information on outstanding accounts.
• Ability to read, comprehend, and apply governmental rules and regulations.
• Proficient in utilizing available tools (e.g., payer websites).
• Knowledge of patient accounts and ability to discuss account information with patients and insurance companies.
• Basic mathematical knowledge, including understanding of debits and credits.
• Typing speed of 45 w.p.m. with correct spelling and grammar.
• Must have internet access and a secure office space for remote work.
• Requires use of office equipment such as computers, telephones, copiers, and fax machines.

Company Description