Carle Health
Champaign, IL
Overview:
The Accounts Receivables Insurance Specialist 1 manages the accounts receivable in accordance with compliance, regulatory and billing guidelines and specific payer rules. Responsible for collection of outstanding receivables through payer portals and/or phone lines. Responsible for the accurate billing of insurance claims by validating coverage, resolving charge review edits, claim edits and front-end clearinghouse and payer rejections. In addition, follows up on outstanding receivables; completes basic appeals; answers, documents and completes inquiries from, insurance companies, internal departments, and 3rd party payers. Works collaboratively with other departments such as Billing, Coding, Cash Posting, etc. to ensure claims are processed/paid correctly.
Responsibilities:
Ability to take initiative but also accept direction and seek guidance appropriately.
Ability to manage confidential information with sensitivity and discretion (in a HIPAA-compliant way).
Strong...