Medical Office Insurance Specialist.

In this crucial position, you'll be the driving force behind resolving outstanding claims, filing appeals, and maintaining open lines of communication with third-party payors. Your meticulous attention to detail and unwavering persistence will be the key to unlocking successful claim processing and maximizing revenue for their organization.
Responsibilities:
Contact third-party payors (insurance companies, government agencies, etc.) regarding outstanding claims to ensure prompt payment.
File appeals on denials involving timely filing, pre-certifications, and services provided by multiple providers on the same date of service.
Provide necessary documentation to the Posting Department for any rejections and/or adjustments that need to be posted to patient accounts.
- Obtain necessary information from hospitals or remote sites for appropriate claims processing, update the billing system with new information, and work with third-party payors to get claims processed or re-processed as necessary.
- Track the number of accounts worked and keep the supervisor informed of fluctuations in volume, patterns of problems, and other relevant information.
- Maintain accurate and organized records of all follow-up activities and correspondence with third-party payors.
- Collaborate with the billing team and other departments to ensure efficient claim processing and resolution of issues.
- Stay up-to-date with changes in insurance policies, regulations, and billing procedures to ensure compliance.
Working hours: 8:00 AM - 5:00 AM
Skills:
- Strong understanding of medical billing processes, insurance regulations, and coding.
Education:
High School
Experience:
1-4 years
Qualifications:
- Able to read an EOB (Explanation of Benefits)
- High school diploma or equivalent.
- At least 1 year of experience in a medical office setting, preferably in a billing or insurance follow-up role.
- Understand how payments are processed by insurance companies
- Excellent verbal and written communication skills.
- Proficient in computer applications, including billing software and Microsoft Office suite.
Don't miss this opportunity to become a claims resolution hero! Apply now and unlock your potential in this rewarding and challenging role.

Spherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temp-to-perm or direct hire opportunities, no one works harder for you than Spherion.
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.
At Spherion, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact Callcenter@spherion.com.
Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Spherion offers a comprehensive benefits package, including health, and an incentive and recognition program (all benefits are based on eligibility).