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Medical Insurance Claims Auditor / Healthcare Advocate

Company: inAssist
Location: Torrance
Posted on: April 17, 2018

Job Description:

Job DescriptionMedical Insurance Claims Specialist/ AuditorBe a part of a rapidly growing and dynamic healthcare company in the South Bay!inAssist is one of the nation's leading providers of Healthcare Management Solutions utilizing our Personal Healthcare Advisors, extensive analytics and customized technology solutions. Driven by our commitment to our clients, we pride ourselves on our ability to ensure our clients receive the best service possible.We are looking for motivated, patient-focused people to join our team!Job Role· Adhering to - our strict security, confidentiality and patient privacy rules· Reviewing patient medical bills and EOBs for accuracy· Communicating with Insurance Companies and Providers to address any issues that are identified (e.g., appeal incorrectly denied claims, coordinate with providers to fix billing errors, negotiate with providers in the case of inappropriate billing)· Ability to organize, plan, prioritize and complete assignments within the required time frame· Provide client support with benefit/health insurance questions· Identifies problems and inconsistencies by using management reports· Summarizes findings and makes recommendations to resolve claims/billing issuesJob RequirementsA background in medical billing or insurance claims administration (Medical Billing and Coding Specialists, and/or Health Insurance Claims Administrators strongly preferred)Experience in overturning claim denials - ranging from simple solutions such as coding correction to more complex situations involving submission of appeals and grievancesProficient with Microsoft OfficeExemplary customer service skillsExcellent time-management skills, with the ability to prioritize multiple tasks, while working with a sense of urgency· Must have excellent verbal and written communication skills.· Must have exceptional problem solving and deductive reasoning skills· Knowledge of medical insurance terminology including CPT/ICD-9 coding. Coding Certificate is a plus· Ideal candidate will have 1 to 3 years of experience in a healthcare setting, preferably in a call center environment.

Keywords: inAssist, Los Angeles, Medical Insurance Claims Auditor / Healthcare Advocate, Accounting, Auditing, Torrance, California

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