Insurance Claims Specialist

2 weeks ago


Dover, Kent, United Kingdom Intermountain Healthcare Full time
About the Role:

This role is responsible for ensuring seamless registration of patients across multiple service lines, accurately collecting demographic, financial, and clinical information from patients or their representatives.

As an Insurance Authorization Specialist with Intermountain Healthcare, you will be tasked with verifying clinician credentials for add-on outpatient encounters, guaranteeing compliance with all payer-specific billing requirements and authorization procedures on a daily basis.

  • Please verify that clinician credentials are accurate before proceeding with add-on outpatient encounters.
  • Ensure that all necessary demographic and billing information for eSummit is collected and verified in a timely manner.

Key Performance Indicators (KPIs):

  • Accurate registration of patients within specified timeframe.
  • Maintenance of high level of accuracy in data collection and verification.

Requirements:

  • Bachelor's degree in Health Information Management, Business Administration, or related field preferred.
  • Minimum one year of experience in medical office setting working with insurance authorization required.
  • Familiarity with state Medicaid/Medicare programs, payment assistance/charity programs, ICD-9, ICD-10, and CPT coding required.

Salary: $24.00 per hour based on average hourly rate between $19.50 - $28.00.



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