Position: Insurance Review Specialist

Location: St. John Outpatient Center: 9660 Wicker Avenue, St. John, IN 46373

Job Summary:

With direction provided by the Insurance Review Supervisor, interacts daily with patients, insurance carriers, and system staff members to ensure claims are submitted and accepted in a timely manner. Works on follow-up work queues and performs outstanding claim tracking, denial management, claim appeals, and retro-adjudication. Pursues accounts receivable balance resolution, statement processing, self-pay follow-up, and bad debt processes.

Education/ Experience Requirements:

• High School graduate (or GED equivalent).

• 1-2 years insurance or medical billing experience preferred; physician practice setting strongly preferred.

• Possess in-depth knowledge of medical terminology and of the current CPT, ICD, and HCPCS coding systems.

• Comprehension of government and third party billing regulations required.

• Must be able to utilize Microsoft Office applications, perform internet navigation and research, and have prior experience using a computerized health information system.

• Needs to be familiar with operating general office equipment, including but not limited to: scanner, fax machine, photocopy machine, printer and adding machine.

• Ability to multi-task efficiently and effectively.

• Must be able to act calmly and effectively in a busy or stressful situation.

• Excellent attitude, interpersonal skills and communication abilities necessary to interact with patients, family members, physicians, and other hospital associates.