Hybrid Insurance Denial Specialist

at Isenberg & Hewitt, P.C.

• Job title: Insurance Denial Specialist
• Job type: Full Time
• Experience level: Mid level, Senior
• Salary: Not specified
• Degree requirement: High School Diploma
• Location requirements: Hybrid, Des Moines, United States

About the role

• Insurance Denial Specialist responsible for daily monitoring of Accounts Receivable recovery for Iowa Orthopedic Center. Collaborate with team members to provide exceptional medical care and customer service.

Responsibilities

• Answer insurance questions
• Work patient accounts
• Work the Clearinghouse rejections
• Carry out special projects as assigned and other duties as assigned
• Denial Work Log adjustments
• Review and approve payer and patient refund requests
• Other adjustments and audits as assigned (prompt pay, admin, work comp, etc.)
• Assist with other duties as assigned
• Responsible for the assigned payerAR

Requirements

• Knowledge of daily, monthly, yearly process of the insurance patient account representative position
• Knowledge of CPT/ ICD-9/ HCPC with regards to auditing accounts for correct reimbursement
• Prior experience with workers' compensation preferred
• Excellent communication skills including the ability to demonstrate strong customer service over the phone and in person
• Basic computer skills; Microsoft Office Suite (Excel, Outlook, Word)
• Ability to utilize web tools, fee schedules, and insurance correspondence to work accounts efficiently and timely
• Excellent communication skills

Benefits

• Competitive pay
• Health
• Dental
• Paid time off
• Paid holidays
• 401(k) with company match
• Profit-sharing
• Employee discounts