Medical Insurance Specialist

Medex Billing Services Inc; Mobile (AL); On-site; USD 45,000 - 65,000; Full time

Job summary

Medex Billing Services Inc., Mobile, AL, seeks an Insurance Specialist to support the medical billing cycle by verifying coverage, processing claims, and ensuring accurate reimbursement for services.

The role requires collaboration with coders and staff, strict adherence to HIPAA, and excellent attention to detail to resolve claim issues and respond to patient inquiries about coverage and billing statements.

Qualifications

• Familiarity with HIPAA and privacy rules.
• Experience verifying patient insurance benefits.
• Knowledge of ICD-10-CM/PCS concepts.
• Excellent accuracy and data entry skills.
• Clear communication with patients and providers.

Responsibilities

• Review and process insurance claims accurately.
• Ensure compliance with ICD-10 and HIPAA regulations.
• Collaborate with medical coders.
• Communicate with insurance companies to resolve claim issues.
• Assist in billing processes and follow up on outstanding claims.
• Handle patient inquiries regarding coverage and billing statements.

Skills

HIPAA regulations

Insurance verification

Medical terminology & coding

Attention to detail

Communication skills

Job description

Job Description

As an Insurance Specialist, you will play a crucial role in the medical billing process by ensuring accurate billing and reimbursement processes for medical services. Your expertise in insurance verification and medical coding will be essential to support the financial operations of medical billing.

Responsibilities

• Review and process insurance claims accurately
• Ensure compliance with ICD-10, and HIPAA regulations
• Collaborate with medical coders
• Communicate with insurance companies to resolve claim issues
• Assist in the billing process and follow up on outstanding claims
• Handle patient inquiries regarding insurance coverage and billing statements

Qualifications

• Strong understanding of HIPAA regulations
• Experience in insurance verification
• Knowledge of medical terminology and coding principles
• Excellent attention to detail and accuracy
• Effective communication skills for interacting with patients, providers, and insurance companies

*Pay rate will be determined by experience and any certifications.