Emory

  • Senior Insurance Specialist, Emory Med Care Foundation

    Job Number
    28888
    Job Type
    Regular Full-Time
    Division
    School Of Medicine
    Department
    SOM: Emory Med Care Foundation
    This position may involve the following Health and Safety issues:
    Not Applicable
    Job Category
    Revenue Cycle & Managed Care
  • Description

    Emory Medical Care Foundation seeks a Senior Insurance Specialist.

     

    JOB DESCRIPTION:

    • Ensures the timely resolution of medical insurance claims filed with insurance carriers and agencies.
    • Handles billing related activities for assigned medical specialties; ensures appropriate coding to maximize reimbursement of claims.
    • Verifies patient insurance and medicaid coverage for billing purposes.
    • Maintains a comprehensive knowledge of billing requirements for assigned medical specialties.
    • May prepare physician charges for processing, using ICD-9 and CPT coding procedures.
    • Determines if patient or third party is appropriate payer and posts payments to accounts.
    • Identifies which accounts require immediate follow up and follows established procedures.
    • Maintains required record-keeping and databases.
    • Assists in training other employees on reimbursement related topics.
    • Performs related responsibilities as required.


    MINIMUM QUALIFICATIONS:

    • A high school diploma or equivalent.
    • Two years of experience in medical billing.
    • A knowledge of word processing and spreadsheet computer applications.

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