Insurance Billing Specialist: Denials & Recovery Expert

20 Northeast Georgia Medical Center, Inc.; Midland (TX); On-site; USD 42,000 - 64,000; Full time

Job summary

Northeast Georgia Health System seeks an Insurance Specialist to serve as the primary contact for patient questions on insurance claims, denials, coding, re-determinations, and settlements. The role focuses on underpayment recovery, denial resolution, and supporting claim adjudication.

Responsibilities include updating coverage, rebilling, researching inquiries, and maintaining HIPAA compliance while ensuring quality service and teamwork.

Qualifications

• CPAR and CPB or CPC certifications required or obtainable within one year.
• High School Diploma or GED required.
• Minimum 3 years of medical billing/coding experience.

Responsibilities

• Verifies and updates patient insurance coverage.
• Rebills claims and reviews patient accounts for accuracy.
• Researches patient inquiries via phone and messages, deescalating issues.
• Liaises with patients and payers to resolve insurance billing problems.
• Maintains knowledge of HIPAA regulations and denial follow-up processes.

Education

CPAR

CPB or CPC

High School Diploma or GED

Job description

Northeast Georgia Health System seeks an Insurance Specialist to serve as the primary contact for patient questions on insurance claims, denials, coding, re-determinations, and settlements. The role focuses on underpayment recovery, denial resolution, and supporting claim adjudication.

Responsibilities include updating coverage, rebilling, researching inquiries, and maintaining HIPAA compliance while ensuring quality service and teamwork.