The Insurance Specialist supports patient-centered care by accurately submitting insurance claims, following up on complex billing issues and denials, and ensuring timely reimbursements.
Responsibilities include verifying insurance coverage, assisting with billing concerns, processing claims, updating patient information, maintaining work queues, documenting interactions, and reviewing claim accuracy. They may also train colleagues and adhere to safety protocols.
Qualifications include at least 2 years of experience in a medical or insurance setting, proficiency with computer systems, strong communication, organizational, and interpersonal skills. Preferred knowledge includes medical terminology, MS Office, and EPIC software. Certification such as AAHAM or CRCR is required. A high school diploma or relevant experience is needed. The role emphasizes diversity, equity, and inclusion in hiring practices.