Insurance Specialist I - Corporate Patient AR Management - Full Time
On-site · Sayre, Pennsylvania, United States
Job Summary
Responsible for non-complex electronic and paper claim submissions to insurance payers; follows up on denied claims and ensures accurate billing through coding review, charge corrections, and adherence to payer guidelines. Collaborates with Denial Resolution Specialist and Billing Specialist II, uses Epic for billing tasks, and generates spreadsheets for project work. Maintains HIPAA confidentiality, provides accurate documentation, and supports Central Charge Entry and Cash Applications while handling inquiries from insurance carriers and Guthrie departments.
Required Qualifications
- High school diploma required
- CPC, CCA, RHIA, RHIT certification in medical billing and coding or Associates degree preferred
- Experience with Word and Excel required
- Experience in high-volume and fast-paced environment
- Epic system experience (used for charge corrections, invoice inquiry, billing edits, insurance eligibility)
- Ability to handle pre-AR edits, paper claims, reports and work queues as assigned
- Strong organizational and customer service skills
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