Insurance Specialist- AR (Remote: Hawaii Time Zone)

CorroHealth, Inc.; East Honolulu (HI); Remote; USD 30,000 - 47,000; Full time

Benefits offered by this job

Competitive hourly salary

Equipment Provided

Medical/Dental/Vision Insurance

9 paid holidays

Tuition reimbursement

Job summary

CorroHealth, Inc. is seeking an experienced claims specialist to help clients exceed financial health goals by resolving complex unpaid/denied claims.

This REMOTE role operates in the Hawaii Time Zone, with a Monday–Friday schedule from 8:00 AM to 4:30 PM Hawaii time, and uses our proprietary software to drive results. You will analyze trends, perform account and document management, and support client projects.

Qualifications

• 5+ years in registration, billing, or collections.
• 3+ years with insurance carrier claims resolution.
• 3+ years experience with EMR systems (Epic, Cerner, Meditech).
• Knowledge of UB04 forms, EOBs, and medical records.
• ICD-9/10, CPT, HCPCS coding knowledge.
• Detail-oriented research to resolve complex claims.
• Advanced Excel and PowerPoint skills.
• Ability to work remotely.

Responsibilities

• Resolve complex unpaid/denied claims using proprietary software and carrier portals.
• Identify trends in claims: CPT/HCPCS errors, duplicates, mapping issues.
• Perform financial account assessments, adjustments, patient payments, documentation.
• Maintain familiarity with client preferences across accounts.
• Support client projects as needed.

Skills

Billing & registration

Insurance claims resolution

EMR systems knowledge

Data analysis

Remote work capability

Excel & PowerPoint

Education

High school diploma or equivalent

Tools

Epic

Cerner

Meditech

Job description

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 seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.

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.

This position is REMOTE in the Hawaii Time Zone

Required Schedule : Monday - Friday 8:00 AM - 4:30 PM Hawaii Time Zone

• Resolve complex, higher-dollar 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.
• Identify and report trends found during the account resolution process such as CPT/HCPCS errors/deletions, duplicate claims, revenue code mapping mismatches, missing charges, no claim on file.
• Perform financial account assessment functions including but not limited to adjustments and NRP to patient. Perform administrative functions including but not limited to medical record submissions, billing claims, patient assistance outreach, obtaining documents from client systems and insurance plan code updates, review corrected claim requests and approve for client assistance or correct the bill within client platform, review and submit payment verification assistance requests.
• Maintain familiarity with client preferences and known issues across multiple client accounts.
• Support special projects for clients as needed.

High School Diploma or equivalent

• ~5+ years relevant industry experience in registration, billing, collections, required
• ~3+ years experience with insurance carrier claims resolution, required
• ~3+years of Epic, Cerner, Meditech or other EMR experience preferred
• ~ Knowledge of UB04 claim forms, EOB’s and medical records required
• ~ ICD-9, ICD-10, CPT and HCPCS coding knowledge required
• ~ Ability to conduct detailed research to resolve complex claims
• ~ Advanced knowledge of Excel and Power Point
• ~ Ability to compile and summarize data
• ~ Ability to analyze and interpret complex documents, contracts, notes, and other correspondence
• ~ Ability to work effectively in a remote environment

• Competitive hourly salary
• Equipment Provided
• Medical/Dental/Vision Insurance
• 9 paid holidays
• Tuition reimbursement

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. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs.