Insurance Specialist, Senior

     
Pay Range Minimum
Job Code:
IG16
Hourly:
$14.09
FLSA*:
Non-Exempt
Monthly:
$2,441.67
Grade:
226
Annually:
$29,300

*This is a Non-Exempt position. Employees in this position are paid an hourly pay rate, on a bi-weekly basis, and are eligible to receive overtime pay for any hours worked over 40 in a work week.

JOB DESCRIPTION: Ensures the timely resolution of medical insurance claims filed with insurance carriers and agencies. Handles billing related activities for assigned medical specialties; ensures appropriate coding to maximize reimbursement of claims. Verifies patient insurance and medicaid coverage for billing purposes. Maintains a comprehensive knowledge of billing requirements for assigned medical specialties. May prepare physician charges for processing, using ICD-9 and CPT coding procedures. Determines if patient or third party is appropriate payer and posts payments to accounts. Identifies which accounts require immediate follow up and follows established procedures. Maintains required record-keeping and databases. Assists in training other employees on reimbursement related topics. Performs related responsibilities as required.
MINIMUM QUALIFICATIONS: A high school diploma or equivalent. Two years of experience in medical billing. A knowledge of word processing and spreadsheet computer applications.

The above statements are intended to describe the work being performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of the personnel so classified.

EQUAL EMPLOYMENT OPPORTUNITY / AFFIRMATIVE ACTION EMPLOYER:

Emory University is dedicated to providing equal opportunities to all individuals regardless of race, color, religion, ethnic or national origin, gender, age, disability, sexual orientation, gender identity, gender expression, veteran's status, or any other factor that is a prohibited consideration under applicable law.

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