Insurance Clerk – Medicare Advantage

Full-Time, 40 hours per week. Contact insurance companies with unpaid claims for account resolution within policy timeframes, research denied charges from insurance companies and solicit involvement of staff for reconsideration claims, file claim disputes either online or paper, calculate and verify payment from Medicare Advantage plans to insure they are following Medicare guidelines, research refund requests from insurance and file proper paperwork, research credit accounts and refund proper recipient, compose and maintain correspondence, memos and routine letters, contact insurance companies to verify patient eligibility, answer patient questions regarding statements and insurance payments and record any follow up and informational notes with insurance companies and patients into computer system. Must be willing to interact with patients/families in a professional manner, treat them with respect and ensure confidentiality.
Requires a high school diploma or equivalent. Associates Degree in Business or related field or equivalent combination of education and experience (one year of education equals one year of experience) preferred. Knowledge of insurance billing and reimbursement denial follow up preferred. Knowledge of generally accepted accounting principles preferred. Knowledge of patient accounting and collections. Previous experience working in a health care environment preferred.