Insurance Claims Specialist

CVLhealth; Northern (KY); Hybrid; USD 38,000 - 62,000; Full time

Benefits offered by this job

Health insurance (3 plans)

Dental insurance

Vision insurance

401(k) with employer match

Disability coverage

Life insurance

Training resources

Merit-based pay raises

Employee Assistance Program

Job summary

Cardiovascular Institute of the South is seeking an Insurance Claims Specialist to join our billing office. You will manage insurance collections, work on outstanding reports, handle audit logs, and address patient billing inquiries to support accurate revenue cycle operations.

In this role you will stay current on policy changes and payer updates, refile or adjust claims as needed, and maintain logs to ensure compliance and financial transparency while delivering excellent service to CIS

Qualifications

• High School diploma or higher is required.
• Strong organizational and time management skills are essential for handling multiple tasks efficiently.
• Ability to work independently and prioritize responsibilities in a fast-paced environment.
• Experience with billing and insurance claims software or systems is preferred.

Responsibilities

• Manage insurance collections and work on outstanding reports.
• Handle audit logs and maintain detailed documentation of workflows.
• Address patient billing inquiries with professionalism and clarity.
• Stay current on insurance policy changes, coding guidelines, and payer updates.
• Regularly follow up on claims and credit balance reports to minimize delays.
• Support compliance and financial transparency by maintaining audit logs and supporting CIS’s mission.

Skills

Organizational skills

Time management

Independent work

Billing systems

Phone collections (preferred)

Education

High School or better

Tools

Billing software

Insurance systems

Job description

Cardiovascular Institute of the South, a leading organization dedicated to advancing heart health through innovation and excellence, is part of a national cardiology platform, Cardiovascular Logistics (CVL). Together, we share the same mission to provide our patients with the highest quality cardiovascular care available. Join our team and be a part of an organization that is dedicated to improving patient outcomes and shaping the future of heart health.

What We Offer:

• Choice of three health insurance plans
• Dental insurance coverage
• Vision insurance coverage401(k) with company match and profit-sharing plan
• Company-paid short-term and long-term disability coverage
• Company-paid life insurance for you and your family
• Access to company-provided training and educational resources
• Eligibility for annual merit-based performance increases
• Special company events, including Christmas parties, Family Day, employee engagement activities, and Spirit Days
• Complimentary Employee Assistance Program (EAP) for all employees and their dependents

About the Role

Serves as an Insurance Claims Specialist within the billing office.

Responsible for managing insurance collections, working outstanding reports, handling audit logs, and addressing patient billing inquiries.

Plays a key role in ensuring timely and accurate insurance claim resolution and supporting the overall financial operations of CIS.

How You’ll Drive Our Mission Forward

Work daily on insurance collection accounts by correcting, refiling, or adjusting claims as needed.

Manage incoming mail, including refund requests and insurance information requests, ensuring timely and appropriate follow-up.

Stay current on insurance policy changes, coding guidelines (CPT, ICD, CCI, global), and payer-specific updates to ensure billing accuracy.

Respond to patient inquiries regarding billing and insurance matters with professionalism and clarity.

Regularly follow up on claims and work outstanding and credit balance reports to minimize revenue cycle delays.

Maintain detailed logs of audits, including pre-payment audits, supporting compliance and financial transparency.

Support CIS's mission by performing any additional duties needed to ensure excellent service and operational success.

What Makes You a Great Match

High school graduate preferred.

Strong organizational and time management skills to handle multiple tasks efficiently.

Ability to work independently and prioritize responsibilities in a fast-paced environment.

Competency in computer systems, particularly those used for billing and insurance claims.

Experience with telephone collections is preferred but not required.

A proactive attitude and commitment to supporting CIS's patient-first philosophy and operational goals.

Qualifications

Education

Required

High School or better.

Equal Opportunity Employer
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