Subject Matter Exper....
Subject Matter Expert - Health Insurance Solution
Posted on :
05-07-2021
Employer Active
1 Vacancy
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Job Description
Req ID : 656464
- Claims processing,
- Payer management
- Eligibility verifications
- Prior approval management
- Pharmacy benefits management
- Health insurance specialists are primarily responsible for utilizing patients' electronic health records to code medical procedures and examine insurance claims.
- Health insurance specialists maintain meticulous records of medical costs, adjustments, co-payments, and other billing details.
- On a typical day, health insurance specialists can be found communicating with insurance carriers, updating internal billing databases, electronically storing patients' records, filing registration forms, analyzing insurance claims, detecting coding errors, and verifying medical coverage.
- Some health insurance specialists take an active role in helping patients obtain and understand their medical benefits.
- It's their overall duty to follow all regulations and coding procedures to allow for prompt payment of medical services.
Employment Type
Full Time
Company Industry
Department / Functional Area
Key Skills
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