Insurance Claims Specialist (Authorization Denials)
Lee Health
Date: 5 days ago
City: Cape Coral, FL
Contract type: Full time
Location:Santa Barbara Professional Center -224 Santa Barbara BlvdCape Coral FL 33991
Department: Patient Business Office
Work Type: Full Time
Shift: Shift 1/8:00:00 AM to 4:30:00 PM
Minimum to Midpoint Pay Rate:$17.34 - $21.67 / hour
Summary
The position will focus on all Hospital and Outpatient Hospital Department Authorization Denials. The position will require research skills to file the authorization appeal and you will perform the follow-up on that appeal for payment resolution from the insurance companies. The candidate must promote positive customer relations, have the ability to multitask and possess excellent verbal and written communication skills. Responsibilities also include review of appeal correspondence and reconciliation of assigned accounts receivable, to secure maximum reimbursement and to resolve denied claims in a timely manner. Ability to work independently as well as in a team environment when necessary is essential along with a supportive team attitude and a friendly personality.
Requirements
Educational Requirements
Degree/Diploma ObtainedProgram of StudyRequired/
Experience Requirements
Preferredand/orHigh School Diploma or EquivalentRequiredor
Preferredand/or1 YearBilling/InsurancePreferred
Minimum Years RequiredArea of ExperienceRequired/
State of Florida Licensure Requirements
LicensesRequired/
Preferredand/orNot Required
Certifications/Registration Requirements
Certificates/RegistrationsRequired/
Preferredand/or
US:FL:Cape Coral
Location:Santa Barbara Professional Center -224 Santa Barbara BlvdCape Coral FL 33991
Department: Patient Business Office
Work Type: Full Time
Shift: Shift 1/8:00:00 AM to 4:30:00 PM
Minimum to Midpoint Pay Rate:$17.34 - $21.67 / hour
Preferredand/or
US:FL:Cape Coral
Department: Patient Business Office
Work Type: Full Time
Shift: Shift 1/8:00:00 AM to 4:30:00 PM
Minimum to Midpoint Pay Rate:$17.34 - $21.67 / hour
Summary
The position will focus on all Hospital and Outpatient Hospital Department Authorization Denials. The position will require research skills to file the authorization appeal and you will perform the follow-up on that appeal for payment resolution from the insurance companies. The candidate must promote positive customer relations, have the ability to multitask and possess excellent verbal and written communication skills. Responsibilities also include review of appeal correspondence and reconciliation of assigned accounts receivable, to secure maximum reimbursement and to resolve denied claims in a timely manner. Ability to work independently as well as in a team environment when necessary is essential along with a supportive team attitude and a friendly personality.
Requirements
Educational Requirements
Degree/Diploma ObtainedProgram of StudyRequired/
Experience Requirements
Preferredand/orHigh School Diploma or EquivalentRequiredor
Preferredand/or1 YearBilling/InsurancePreferred
Minimum Years RequiredArea of ExperienceRequired/
State of Florida Licensure Requirements
LicensesRequired/
Preferredand/orNot Required
Certifications/Registration Requirements
Certificates/RegistrationsRequired/
Preferredand/or
US:FL:Cape Coral
Location:Santa Barbara Professional Center -224 Santa Barbara BlvdCape Coral FL 33991
Department: Patient Business Office
Work Type: Full Time
Shift: Shift 1/8:00:00 AM to 4:30:00 PM
Minimum to Midpoint Pay Rate:$17.34 - $21.67 / hour
Preferredand/or
US:FL:Cape Coral
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