Insurance Denials Specialist

Job Description Ideally looking for candidates with Medicare or Medicade denials experience or government experience. Insight Global is seeking a Denials Insurance Specialist to join their Revenue Cycle team. This person will provide a liaison between the providers of health care services, the patient, or other responsible persons, and revenue sources, to ensure the correctness of charges, a current record of all transactions, and account resolution They will maintain active communications with insurance carriers and third-party carriers until account is paid, negotiate payment of current and past due accounts by direct telephone and written correspondence and update patient account information. Additionally, they will monitor and identifies payer denial trends and problem accounts; communicates patterns to supervisor, run a monthly aging report based on DOS and current A/R to identify accounts that require follow up and manage all assigned worklist daily for assigned insurances. This is a 100% remote role, that needs proven work from home experience. Additionally the working hours are 8-5 EST, but can have a 7-4 or 9-6 schedule if requested. 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.

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https://insightglobal.com/workforce-privacy-policy/. Skills and Requirements

REQUIRED SKILLS AND EXPERIENCE

Government, Medicade, or Medicare experience

• High School or GED
• Minimum 2+ years of medical insurance collections experience
• Denials o Etna, cigna, united healthcare
• Knowledge of medical terminology utilized in medical collections and billing (CPT, ICD-10, HCPCS)
• Experience with insurance claims and insurance denials Experience in payor portals and EHR systems