Job Summary
The Insurance Specialist plays a crucial role in overseeing the entire insurance process for an outpatient physical therapy clinic. This includes essential tasks such as verification, obtaining authorizations, and handling claims processing. The specialist is tasked with resolving payment denials, managing outstanding accounts receivable, and ensuring effective communication with different payers.
Responsibilities
- Oversee insurance verification, authorizations, and claims processing for outpatient services.
- Resolve issues regarding claim denials and follow up on outstanding accounts receivable.
- Maintain effective communication with insurance payers to ensure smooth operations.
- Manage the complete insurance cycle to support clinic operations.
Qualifications
- A minimum of 2 years of experience in medical insurance verification and billing.
- Strong knowledge of CPT and ICD-10 coding practices.
- Proficiency in utilizing payer portals effectively.
- Ability to work independently in a remote, HIPAA-compliant setting.
