Insurance Specialist I - Corporate Patient AR Mgmt - Full Time - Towanda, PA

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Sayre, PA, United States
Jun 28, 2021

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Job Description

Guthrie Entity

The Guthrie Clinic

Shift

Not Applicable

Pay Grade

TGC/A7

FLSA Status

Non-Exempt

Main Function

Responsible for non-complex electronic and paper claim submissions to insurance payers. Coordinates required information for filing secondary and tertiary claims reviews and analyzes claims for accuracy, i.e. diagnosis and procedure codes are compatible and accurate. Makes charge corrections or follows up with appropriate parties as needed to ensure billing invoice is correct. Follows up with payers on unresponded claims. Works denied claims by following correct coding and payer guidelines resulting in appeal or charge correction. Teams with Insurance Billing Specialist II and Denial Resolution staff to work projects, request guidance on more complex billing issues and cross training for other payers and tasks. Responds to a variety of questions from insurance companies, government agencies and all Guthrie Medical Group offices. Partners with CRC and other Guthrie departments to field billing inquiries. Answers all correspondence from insurance carriers including requests for supportive documentation.

Education

High School Grad or Equivalent. Prefer associate’s degree. 

Experience

Strong organizational and customer service skills a must.  Experience with office software preferred.  Ability to read, understand, and follow oral and written instructions.  Prior coding, billing, and medical terminology experience helpful. 

How To Apply

Guthrie is an equal opportunity employer. To apply for a position at Guthrie please visit www.guthrie.org/careers

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Job Info

Jun 28, 2021

121037-1A

United States

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