Position: Insurance Review Specialist

Location: St. Catherine's Hospital-East Chicago, IN 46312

 

Job Summary:

 

 

With direction provided by the Insurance Review Supervisor, interacts daily with patients, insurance carriers, and system staff members to ensure claims are submitted and accepted in a timely manner. Works on follow-up work queues and performs outstanding claim tracking, denial management, claim appeals, and retro-adjudication.  Pursues accounts receivable balance resolution, statement processing, self-pay follow-up, and bad debt processes. 

 

 

 

Education/ Experience Requirements:

 

High School graduate (or GED equivalent).

1-2 years insurance or medical billing experience preferred; physician practice setting strongly preferred.

Possess in-depth knowledge of medical terminology and of the current CPT, ICD, and HCPCS coding systems.

Comprehension of government and third-party billing regulations required.

Must be able to utilize Microsoft Office applications, perform internet navigation and research, and have prior experience using a computerized health information system.

Needs to be familiar with operating general office equipment, including but not limited to: scanner, fax machine, photocopy machine, printer and adding machine.

Ability to multitask efficiently and effectively.

Must be able to act calmly and effectively in a busy or stressful situation.

Excellent attitude, interpersonal skills and communication abilities necessary to interact with patients, family members, physicians, and other hospital associates.