Regional Insurance Manager accountable for centralized regional sales organization. Leading insurance business operations and driving growth with the Automobile Club of Southern California.
OC
Hybrid Insurance Appeals Representative
Posted 5 days ago
About the role
- Insurance Appeals Representative at Overlake Medical Centers handling denied medical claims and acting as an intermediary between providers and insurers. Critical role in ensuring payment and communication flow.
Responsibilities
- Responsible for timely follow up on denied/outstanding claims ensuring payments for medical services are received in a timely manner.
- Function as an intermediary between healthcare providers, clients and health insurance companies.
Requirements
- High school diploma or GED required.
- Minimum of two years current experience in medical insurance for payers or government programs is required.
- Previous insurance collections experience desired.
- Physician billing experience preferred.
- Strong written and verbal communication skills, along with high attention to details and strong organization skills are critical for success.
- Must demonstrate a working knowledge of ICD-10, CPT, HCPC codes, and HIPAA.
- Working knowledge of business and communication software such as MS Office, medical software programs, and general business office equipment (copier, printer, fax , and scanner).
- Basic mathematical skills.
- Ability to understand medical/surgical terminology.
- Must reside in Washington state and attend in person meetings as required.
Benefits
- Medical insurance premiums as low as $0 per month.
- Many Overlake services covered at 100%.
- Tuition reimbursement up to $10,000 per year.
- Generous retirement plan matching starting at 5% and increasing to 7% after five years with immediate vesting.
- Pre-tax and Roth after tax retirement savings plans.
- An expanded Employee Assistance Program.
- A caregiver support program to help with everything from childcare to eldercare.
- Free parking and Orca transit passes.
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