Optim Health System is seeking a full time Claims Pro Fee Insurance Specialist - Professional Services
Job Requirements:
- Handles AR follow-ups on outstanding AR for payers and resolution of denials.
- Handles all correspondence related to an insurance or patient account, contacts insurance carriers, patients and other facilities as needed to get maximum payment on accounts, and identifies issues or changes to achieve profitability.
- Works EDI transactions and ERA files to include reconciling carrier submissions, edits and rejection reports, researching and resolving accounts appearing on Delinquent Insurance Report and Government Payor report.
- Makes appropriate decisions on accounts to be worked to maximize reimbursement.
Requirements:
- Comprehensive knowledge of the AR process with strong experience doing AR follow-ups, specifically in healthcare
- Healthcare insurance billing experience
- Organized, detail oriented, able to multi-task, work well with others
- Computer literate
- 2 or more years' applicable work experience
- High School diploma or GED
Optim Offers:
- Competitive Pay
- Company Benefits
- Vacation, Personal Time Off, and Sick Leave
- Holiday Pay
- 401K Plan
