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Insurance AR Specialist
OrthoIllinois
Rockford, IL
Category
Finance
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Job Description
The Insurance A/R Specialist performs insurance follow up, online claim submissions, records uploading and appeals for all professional claims.
Requirements
Manages claims utilizing workflow queues to prioritize and complete follow up in accordance with compliance, regulatory and billing guidelines and/or workflow, and specific payer protocols
Monitors claim status with payers via web or phone
Utilizes software to identify underpaid claims and file appeal letters to insurance carriers requesting appropriate reimbursement
Processes appeal denials obtaining referrals and retro authorizations as needed
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