Insurance Specialist (Revenue Cycle) - Working remotely KY and Southern IN candidates only

Seven Counties Services; Louisville (KY); Remote; USD 35,000 - 55,000; Full time

Job summary

An established industry player is seeking an Insurance Specialist to manage insurance claims and billing processes. This full-time role offers the opportunity to work remotely while ensuring accurate account management and timely payments. The ideal candidate will have experience in medical billing, strong interpersonal skills, and proficiency in coding. Join a supportive environment that values career growth and work-life balance, with benefits including health insurance, retirement planning, and tuition assistance. If you're passionate about making a difference in the mental health care sector, this role is for you.

Benefits

Medical Insurance

Dental Insurance

Vision Insurance

Flexible Schedules

Paid Time Off

Tuition Assistance

403b with Match

Qualifications

• 2+ years of experience in medical billing and claims processing.
• Strong knowledge of ICD-10 and CPT coding.

Responsibilities

• Manage insurance claims and billing processes for timely payments.
• Follow up on unpaid claims and manage collections.

Skills

Medical Billing

Insurance Claims Processing

ICD-10 Coding

CPT Coding

Interpersonal Skills

Typing Speed

Education

High School Diploma

Tools

Windows

Job description

Insurance Specialist (Revenue Cycle) - Working remotely KY and Southern IN candidates only

Join Seven Counties Services as an Insurance Specialist (Revenue Cycle) working remotely in KY and Southern IN. This role involves managing insurance claims and billing processes to ensure timely payments and accurate account management.

Key Responsibilities

1. Complete insurance forms, including 1500 HCFA for specifications required by insurance companies.
2. Monitor billing for Medicare, Medicaid, Tricare, and Commercial insurances to meet specifications.
3. Ensure demographic, CPT, and charge accuracy on claims.
4. Follow up on unpaid claims via phone, fax, or mail, and assertively manage collections.
5. Identify overpayments, initiate refunds, and perform adjustments per internal controls.
6. Maintain confidentiality and proper usage of office equipment.
7. Research EOBs for incorrect payments and communicate with insurance companies for correct reimbursements.
8. Use ICD-10 and CPT codes accurately, print and mail claims regularly, and respond to correspondence.
9. Coordinate with providers and staff, and report issues to the AR Manager.
10. Stay updated on Corporate Compliance issues and perform other duties as assigned.

Qualifications

• High school diploma or equivalent.
• At least two years of experience in medical billing with insurance and patient claims processing.
• Typing speed of 30 w.p.m. or higher.
• Strong interpersonal skills and team-oriented attitude.
• Knowledge of medical terminology, ICD-10, and CPT coding; E/M coding preferred.
• Proficient in computer use, Windows experience preferred.

Physical Demands

• Typical office environment; lifting up to 10 pounds; may involve walking, standing, stooping, or bending.
• Minor discomfort from prolonged video display use.

Benefits

• Health & Wellness: Medical, Dental, Vision, FSA, HSA, Disability, Life Insurance.
• Financial Wellbeing: Competitive pay, 403b with match, retirement planning.
• Career Growth: Tuition assistance, loan forgiveness, professional training, leadership programs.
• Work-Life Balance: Paid time off, flexible schedules, Employee Assistance Program.

Additional Information

• Full-time, entry-level position.
• Industries: Non-profit and Mental Health Care.