Job Summary
The Insurance Reviewer II supports accurate and timely insurance account processing. This role manages payments from third-party payors, prepares and processes insurance vouchers, and completes billing adjustments. The reviewer also examines system edits, works to resolve denied claims, and helps ensure patient registration information is correct and up to date.
Responsibilities
- Manage and process payments from third-party insurance payors.
- Prepare and handle insurance vouchers and make billing adjustments.
- Review system edits, investigate issues, and take appropriate steps to clear them.
- Resolve denied claims through review and follow-up.
- Maintain accurate patient registration records to support billing and claims processing.
Qualifications
- High school diploma or GED.
- Previous experience working in a medical billing office.
- Knowledge of medical terminology and CPT/ICD-9 coding.
- Basic computer skills.
Springfield Clinic provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
