[Hiring] Insurance Specialist I @Navani

Role Description

The Insurance Specialist is a remote position working Monday-Friday. Training hours are 8am-5pm Monday-Friday PST. Hours may vary after training. Rate of pay will depend on experience and location of remote worker.

• Address large volumes of unpaid or incorrectly paid claims to secure reimbursement.

Performs medical billing functions to third party claims. Reviews unpaid claims and denials and appropriately rebills the claim. Researches and/or resolves patient complaints. Researches and resolves credit balances, refunding appropriate party as needed. Tracks and monitors denials for trending and establishes plan of action to resolve systemic payer issues.

Qualifications

• High School Diploma/GED required
• Two years medical billing course is desired
• Patient accounts billing experience is desired
• Working knowledge of Medinformatix or other patient accounting systems preferred
• CPT and ICD-10 coding experience preferred
• Good customer service skills
• Experience with Microsoft Office products (Outlook, Word, Excel), Workday, Internet, Intranet, Meditech, Code Correct, Medinformatix, Waystar is highly desired

Requirements

• Ability to maintain strict confidentiality within the Inland Imaging companies and Inland’s customers.
• Follows all Health and Safety policies and guidelines of Inland Imaging or its partners depending on work location.
• Follows all company policies including those regarding harassment, non-retaliation, discrimination, respectful workplace, and related policies.
• Follows all policies regarding HIPAA, non-disclosure of confidential information and company security.
• Honest, pleasant manner and good personal hygiene.
• Free of alcohol and drug abuse.
• Valid state driver’s license and proof of insurance.
• Excellent communication and interpersonal skills.
• Detail oriented; ability to multi-task; organized and able to work in a fast-paced environment.
• Demonstrates self-directed learning and participation in continuing education through professional journals, approved seminars, etc.
• Ability to consider individual needs in communication with and assessment and treatment of patients of all ages.
• Adheres to departmental standards and personnel policies by demonstrating professional demeanor in conduct and appearance.
• Follows company departmental standards and personnel policies by using good teamwork and communication skills to help identify concerns and solutions, assisting where needed to ensure a smooth functioning department.
• Performs other duties as required by displaying team spirit and self-growth, accepting, and performing other projects and responsibilities, and requesting other projects and responsibilities.
• Quarterly quality assurance meeting attendance is required for this position.
• Attendance is a requirement for this position.
• Rotates to other shifts and locations as needed.
• Performs other special projects and duties as assigned.

Benefits

• Must be able to pass a background check required by RCW 43.43.830-840 to work with children under the age of 16, developmentally disabled persons or vulnerable adults.
• In order to comply with provisions set forth in Sections 1128 and 1156 of the Social Security Act, all new employees of Navani Health Services will be checked against the LIST OF EXCLUDED INDIVIDUALS provided by the Department of Health & Human Services, Office of the Inspector General (OIG). Employees must not be included on this list.
• Eligible employees must be able to pass a post-offer, pre-employment drug test.