Insurance Reimbursement Specialist

Urology Specialists is a busy independent practice located in southeastern Sioux Falls. Our group consist of nine board certified urologists and eleven mid-levels. We offer the highest quality of comprehensive urological care in the region.

Job Description

We have an OPEN position in our Billing Department. We are looking for a fulltime Insurance Reimbursement Specialist. Here are a few details:

This position would work in a team environment to interpret and evaluate appeals including denials management, insurance follow-up with payers and insurance providers, to assure timely turn around for claims resolution and reimbursement.

Other tasks include, but are not limited to:

• Identifies and resolves patient billing complaints.
• Answers incoming phone calls or in person contacts with patient regarding account.
• Participates with other staff to seek account resolution and help work denials.
• Serves as liaison with insurance companies to resolve pending claims.
• Initiates all billing processes to include primary and secondary insurance claims, workers compensation and paper claims.
• Research overpayments due to patient and insurance company.
• Complete insurance verification process.
• Processes referral requests and obtains referrals when necessary.
• Communicates denials and high deductible information to appropriate Billing staff.

Education and Training requirements:

• High School Diploma or GED
• Minimum 1 year medical billing experience in a physician office setting with knowledge of various medical payer practices and insurance laws/guidelines (Medicare, Medicaid, Work Comp, VA, and other third-party payers)
• Experience with EHR and electronic claims preferred
• Basic knowledge of CPT and ICD-10 coding principals

This position is full-time. Business office hours are Monday - Friday, 8 am - 5 pm (with a 1/2 day off per week). We offer a competitive compensation and comprehensive benefits package including health, dental, vision, 401K, life insurance, AD&D, short and long-term disability, PTO, sick leave, and paid holidays.