Insurance Specialist

CorroHealth Inc; Texas; Remote; USD 42,000 - 56,000; Full time

Job summary

CorroHealth Inc. seeks an Insurance Specialist to accurately identify insurance claim denials and processing errors to resolve accounts.

The role involves reviewing UB04 forms, EOBs, and medical records, using proprietary software, and communicating with clients to secure timely resolutions. Candidates should have a high school diploma, familiarity with EMR systems (Epic, Cerner, Meditech), and strong math, analytical, and written/spoken communication skills.

Qualifications

• High School Diploma or equivalent.
• At least one year of physician and/or hospital AR experience preferred.
• Knowledge of UB04 claim forms, EOBs and medical records preferred.
• At least one year of EMR experience (Epic, Cerner, Meditech) preferred.
• Knowledge of basic computer functions.
• Ability to work effectively in a remote environment.
• Strong verbal and written communication skills.
• Basic mathematics skills.

Responsibilities

• Resolve unpaid/denied claims by leveraging a proprietary software system and outreach.
• Review UB04 forms, EOBs, and medical records to decide claim resolution steps.
• Maintain familiarity with client preferences and known issues.
• Meet monthly production and quality expectations.
• Comply with HIPAA privacy laws.
• Perform other duties as assigned.

Skills

Verbal communication

Written communication

Multitasking

Attention to detail

Mathematical skills

Analytical thinking

Education

High School Diploma or equivalent

Tools

Epic

Cerner

Meditech

Job description

About Us:Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.JOB SUMMARY:Insurance Specialists are responsible for accurately identifying insurance claims denials and/or claims processing errors to resolve accounts.ESSENTIAL DUTIES AND RESPONSIBILITIES:Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.Resolve unpaid/denied claims by leveraging proprietary software system, making phone calls, generating letters, accessing client systems and insurance carrier web portals in the pursuit of getting a claim resolved.Review medical documentation such as UB04 claim forms, EOB’s and medical records to determine the appropriate course of action for claim resolution.Maintain familiarity with client preferences and known issues.Meet monthly production and quality expectations.Comply with HIPAA privacy laws.Other duties as assigned.MINIMUM QUALIFICATIONS & REQUIREMENTS:High School Diploma or equivalentAt least one year of physician and/or hospital AR experience preferredKnowledge of UB04 claim forms, EOB’s and medical records preferredAt least one year of Epic, Cerner, Meditech or other EMR experience preferredKnowledge of basic computer functionsAbility to work effectively in a remote environmentStrong verbal and written communication skillsBasic mathematics skills (addition, subtraction, calculate percent, etc.)Ability to analyze and interpret documents, contracts, notes, and other correspondenceAbility to multitask in a fast-paced environmentOrganization skills with a strong attention to detailPHYSICAL DEMANDS:Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.