• Insurance Reimbursement Specialist- RSC
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    Company: Health Management Associates

    Location: Mooresville, NC

    Date Posted: November 14, 2013

    ESSENTIAL JOB FUNCTIONS: * Working knowledge of all facets of insurance claim filing, requirements and regulations * Maintain work queue in ClaimIQ daily to ensure timely follow up * Research account specifics to complete necessary follow up actions * Contact insurance payors via telephone on aged/delayed claims for resolution * Contact patients/insurance companies on unresolved claims * Communicates with all parties in a professional manner and provides explanations regarding the account(s) * Ensure confidentiality of all patient accounts by following HIPAA guidelines * Adheres to compliance of CMS and other payor guidelines * Responsible for being aware of the current department policies and procedures * Posts any denials received from insurance payors * Post adjustment requests and...

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    from Health Management Associates, Inc