Insurance Reimbursement Specialist
Houston, TX 77077
Temp to Hire
The Insurance Reimbursement Specialist is responsible for the collections of insurance claims pertaining to Worker s Compensation along with Motor Vehicle Accident claims. Essential to this position is the ability to manage all collection follow up for maximum insurance reimbursement. To include outbound and inbound insurance carrier calls, reprocessing claims, working denials and resolving unpaid claims. Calling attorney s office, completing deposition questionnaire s, along with medical record retrieval experience a must!
Understanding and staying informed of the changes with procedures, billing guidelines, and laws for specific insurance carries or payers.
Initiating collection follow-up on all unpaid or denied claims with appropriate insurance carrier.
Research, and resolve unpaid insurance claims.
Actively follow up and collect on all claims, including resolution of any billing errors assigned following established procedures.
Follow up with attorney office on unpaid claims.
Respond to correspondence from insurance carries.
Perform other duties as assigned by department manager.
Frequent speaking, listening using a headset, use of hands / fingers across keyboard or mouse, handling other objects, long periods working at a computer.
Service center with moderate noise level due to representatives talking, computers, printers, and floor activity.
While performing duties of this job, the employee is frequently required to stand, walk and sit.
Must submit to random drug screenings.
Minimum Education: High School Diploma/G.E.D.
Minimum 3+ Years of experience with worker s comp follow up and motor vehicle accident collections.
Strong communications skills in both oral and written.
Positive attitude, Team player, Go-getter .
Ability to have a productive phone conversations with the insurances companies and attorney s representative.
Understands the difference between 1st and 3rd party claims.
Demonstrates excellent problem solving skills and negotiating skills.
Knowledge of CMR, EPower and Centricity desired.
Understands the TMB guidelines for Medical Record retrieval.
Fully compliant with HIPPA a must!
Familiarity with computer and Windows PC applications such as Excel and Word, which includes the ability to learn new computer systems applications.
30WPM with 97% accuracy a must.
PLEASE SEND RESUME TO SHENA.BILNOSKI@LKJORDAN.COM
**WILL PERFORM BACKGROUND AND DRUG SCREEN ON SITE**
L.K. JORDAN AND ASSOCIATES IS AN EQUAL OPPORTUNITY EMPLOYER