Insurance Plan Specialist

Are you ready to join a patient focused culture that supports financial improvement and drives value-based performance? If so, we have a great opportunity as the Insurance Plan Specialist! As the Insurance Plan Specialist, you will be responsible for reviewing and researching payment account adjudication, billing results and disputed claim patterns for assigned payers. The Insurance Plan Specialist will also work closely with internal and external stakeholders to ensure processes are working efficiently.
What We Look For:
High School Diploma or GED required
Bachelor's Degree preferred
1-2 years' experience in analysis of payor trends
Intermediate understanding of ICD-9, HCPCS/CPT coding, medical terminology and hospital billing form requirements (UB-04)
Intermediate skills in Microsoft Excel to create pivot tables and perform v-lookup function
Intermediate knowledge of query writing applications and data validations desired
Intermediate knowledge of Contract Adjudication applications (Med-Assets)
Intermediate knowledge of patient accounting principles
Demonstrated ability to detect patterns in large volumes of data
Up to $30/hr
Daytime hours
No weekends
Fun work environment
HealthCare Scouts, Inc. specializes in nationwide placement of highly qualified healthcare professionals who value excellence and high quality patient care. Offering a unique blend of specialization and scope of services, HealthCare Scouts, Inc. works with some of the most sought after employers in the country. Our dedicated recruiters consist of industry-specific recognized leaders who use their expertise to connect candidates with clients throughout the United States where our focus is to partner top-notch talent with equally refined employment opportunities.
For Immediate Consideration, Please Contact:Brad WilliamsNational Recruiting Consultant800-708-0605 email removed

Don't Be Fooled

The fraudster will send a check to the victim who has accepted a job. The check can be for multiple reasons such as signing bonus, supplies, etc. The victim will be instructed to deposit the check and use the money for any of these reasons and then instructed to send the remaining funds to the fraudster. The check will bounce and the victim is left responsible.

More Jobs

Telecommute Insurance Follow Up Denial Specialist
Los Angeles, CA RevMD Partners
Planned Giving Specialist
San Jose, CA San Jose State University
Telecommute Global Traveler Support Specialist
Los Angeles, CA BootsnAll Travel Network, LLC
Telecommute Medical Coding Specialist
Los Angeles, CA Amedisys, Inc
Molecular and Lab Operations Specialist
Woodland, CA Randstad
Medical Billing Specialist
Palm Springs, CA The Judge Group, Inc.