Insurance Recovery Specialist

Job Title: Insurance Recovery Specialist
Division: NCC
Reports To: Director, Manager, Lead
Department: Insurance

An Insurance Recovery Specialist completes all necessary actions and follow-up to resolve unpaid medical claims accurately and with a sense of urgency.

• Strong understanding of basic insurance terminology.
• Completes insurance verification.
• Ability to read and understand EOB’s, medical records and all correspondence received from an insurance company.
• Contact insurance companies via the telephone regularly.
• Utilize on-line web applications including EPIC, OneSource and various insurance companies to complete follow up.
• Bill/Re-bill various payers.
• Quickly determine how to disposition a claim.
• Appeal claims when necessary.
• Determine ability for payment.
• Work a minimum of 40 accounts per day.
• May advise management regarding strategy effectiveness for various portfolios.
• May interact with various clients and handle inquiries.
• Responsible for new business and follow up.
• Manager work file to ensure appropriate and timely actions are being taken.
• Assist with Insurance Recovery Specialist training as needed.
• Always keep a good attitude and help with team motivation.
• Communicates with other departments to facilitate appropriate actions are taken on accounts.
• Performs other duties as assigned.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• A high school diploma and some college are preferred.
• A minimum of two years experience in a medical business office preferred.
• Knowledge of HIPAA.
• Ability to communicate clearly and succinctly, utilizing proper grammar and telephone etiquette is preferred.
• Prior PC and keyboard knowledge preferred.
• Knowledge of Excel and Word.
• Ability to compute basic math calculations using addition, subtraction, multiplication, division, and percentages is preferred.