Job Description

Insight Global is looking for a billing reimbursement specialist. They will be working on the Medicare team for the follow up and reconciliation and billing processes team. They will be contacting employers, insurance carriers and Medicare parties for interpretation of coverage. This involves meticulously checking each claim for accuracy, ensuring that all necessary documentation is included, and verifying that the services billed are covered under the patients insurance plan. The specialist communicates with insurance companies to resolve any discrepancies or denials, often requiring detailed explanations and follow-up documentation. They also interact with healthcare providers to clarify any ambiguities in the claims and to gather additional information when needed.

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com .

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Skills and Requirements

2+ years experience in Medicare Billing

Experience in hospital follow up and reconciliation

Experience with WPS/DDE

Knowledge of Medicare A+B

Executes denial appeals process to resolve appeals with third-party payers Medicare

Education requirement: HS Diploma null

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion,sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military oruniformed service member status, or any other status or characteristic protected by applicable laws, regulations, andordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to HR@insightglobal.com.