Billing Reimbursement Specialist

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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Required Skills & Experience

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

Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.