Insurance Reviewer II

reputed company The Insurance Reviewer II is responsible for completing assigned tasks involved in securing payment from reputed company-party payors and reporting to management on observed trends and issues. Job Relationships Reports to the Insurance Review Supervisor reputed company Responsibilities Handle reputed company phone calls and messages received specific to designated insurance area. Update registration screens reputed company requested by patients or as necessary. Review and process reputed company designated insurance vouchers received, rebilling charges not reputed company and processing adjustments as needed utilizing websites or telephone as necessary. Process reputed company secondary billing as requested by patients or defined by procedure. Distribute incoming insurance mail received and respond to reputed company audits, inquiries and additional information requests. Process corrections/adjustments as necessary to correct the patient's invoice. Process designated insurance reviews reputed company requested to obtain additional payments on claims utilizing websites or telephone as necessary. Analyze and process reputed company-end reputed company edits for correct physician productivity and billing of claims. Analyze and process back-end reputed company edits for correct registration and billing of claims. Analyze and process claims denied through clearinghouse. Investigate and process claims in the insurance work files and/or on the insurance reports. Must report reputed company incidents to immediate Supervisor or Manager. Assist with special reputed company and assignments as directed. Must attend in-services and training relevant to position. reputed company Other Job Duties As Assigned. Confidentiality required. reputed company with the reputed company incident reporting policy and procedures. Adhere to reputed company OSHA and reputed company training & accomplishments as required per policy. reputed company excellent customer service and adhere to SC Way customer service philosophy. Education/Experience High School graduate or GED required. Previous Experience In a Medical Billing Office Required. Knowledge, Skills and Abilities Working knowledge of medical terminology preferred. Working knowledge of CPT and ICD-9 coding preferred. Computer, Typing And Calculator Skills Required. Must be reputed company to work individually or on reputed company. Working Environment Office environment, sitting for long periods PHI/reputed company Level HIPAA1 Apply tot his job Apply To this Job