Use this area to filter your search results. Each filter option allows for multiple selections.

Discipline
Type
Level

Search Results: 22 Jobs

Create Alert

Insurance Reviewer II - PA

Springfield Clinic

Springfield, Illinois

Insurance Reviewer II - PA

Springfield Clinic

Springfield, Illinois

Insurance Reviewer II - PA

Springfield Clinic

Springfield, Illinois

Neonatal Nurse Practitioner

Pediatrix Medical Group

Springfield, Missouri

Pulmonary & Critical Care Faculty Opportunity

Baystate Health

Springfield, Massachusetts

Featured!

Director Quality Management

Kindred Hospitals

Springfield, Missouri

Research Exercise Physiologist

Baystate Health

Springfield, Massachusetts

Featured!

Specialty Nurse Practitioner- Endo- Springfield

Inova Health

United States,

Thoracic Surgery Opportunity

Trinity Health

Hartford, Connecticut

NEW!

Nurse Practitioner - Palliative Care Opportunity

Trinity Health

Hartford, Connecticut

Certified Nurse Midwife or Nurse Practitioner - OB-GYN Opportunity

Trinity Health

Hartford, Connecticut

Psychiatry Opportunity

Trinity Health

Hartford, Connecticut

NEW!

Family Medicine or Internal Medicine Opportunity

Trinity Health

Hartford, Connecticut

NEW!

Breast Surgery Opportunity

Trinity Health

Hartford, Connecticut

NEW!

Maternal Fetal Medicine Opportunity

Trinity Health

Hartford, Connecticut

Nurse Practitioner or Physician Assistant - Surgical Critical Care Opportunity

Trinity Health

Hartford, Connecticut

Nurse Practitioner or Physician Assistant - Medical Cardiology Opportunity

Trinity Health

Hartford, Connecticut

Dentistry - Residency Program Director Opportunity

Trinity Health

Hartford, Connecticut

Nurse Practitioner or Physician Assistant - Hospitalist Opportunity

Trinity Health

Hartford, Connecticut

Internal Medicine or Family Medicine - Hospitalist Opportunity

Trinity Health

Hartford, Connecticut

Nurse Practitioner or Physician Assistant - Heart Failure Opportunity

Trinity Health

Hartford, Connecticut

Emergency Medicine Opportunity

Trinity Health

Hartford, Connecticut

Job Saved Save Job

Insurance Reviewer II - PA

Springfield Clinic

Details

Posted: 19-Mar-23

Location: Springfield, Illinois

Salary: Open

Categories:

Operations

Internal Number: 3103

The Insurance Reviewer II is responsible for completing assigned tasks involved in securing payment from third-party payors and reporting to management on observed trends and issues.

Job Relationships
Reports to the Insurance Review Supervisor

Principal Responsibilities
Handle all phone calls and messages received specific to designated insurance area.
Update registration screens when requested by patients or as necessary.
Review and process all designated insurance vouchers received, rebilling charges not paid and processing adjustments as needed utilizing websites or telephone as necessary.
Process all secondary billing as requested by patients or defined by procedure.
Distribute incoming insurance mail received and respond to all audits, inquiries and additional information requests.
Process corrections/adjustments as necessary to correct the patient's invoice.
Process designated insurance reviews when requested to obtain additional payments on claims utilizing websites or telephone as necessary.
Analyze and process front-end system edits for correct physician productivity and billing of claims.
Analyze and process back-end system edits for correct registration and billing of claims.
Analyze and process claims denied through clearinghouse.
Investigate and process claims in the insurance work files and/or on the insurance reports.
Must report all incidents to immediate Supervisor or Manager.
Assist with special projects and assignments as directed.
Must attend in-services and training relevant to position.
Perform other job duties as assigned.
Confidentiality required.
Comply with the Springfield Clinic incident reporting policy and procedures.
Adhere to all OSHA and Springfield Clinic training & accomplishments as required per policy.
Provide excellent customer service and adhere to SC Way customer service philosophy.

Education/Experience
High School graduate or GED required.
Previous experience in a medical billing office required.

Knowledge, Skills and Abilities
Working knowledge of medical terminology preferred.
Working knowledge of CPT and ICD-9 coding preferred.
Computer, typing and calculator skills required.
Must be able to work individually or on a team.

Working Environment
Office environment, sitting for long periods

PHI/Privacy Level
HIPAA1

Create a Job Alert for Similar Jobs

Connections working at Springfield Clinic

More Jobs from This Employer

https://careers.myscrs.org/jobs/18344622/insurance-reviewer-ii-pa

Loading...

Captcha / Bot check:

Error