Insurance AR Specialist

OrthoIllinois
Rockford, IL
Category Finance
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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