What are the responsibilities and job description for the Insurance Claims Specialist position at Cardiovascular Institute South?
Who We Are:
Cardiovascular Institute of the South, a leading organization dedicated to advancing heart health through innovation and excellence, is part of a national cardiology platform, Cardiovascular Logistics (CVL). Together, we share the same mission to provide our patients with the highest quality cardiovascular care available. Join our team and be a part of an organization that is dedicated to improving patient outcomes and shaping the future of heart health.
What We Offer:
- Choice of three health insurance plans
- Dental insurance coverage
- Vision insurance coverage401(k) with company match and profit-sharing plan
- Company-paid short-term and long-term disability coverage
- Company-paid life insurance for you and your family
- Access to company-provided training and educational resources
- Eligibility for annual merit-based performance increases
- Accrued General Purpose Time (GPT)
- Eight company-paid holidays
- Special company events, including Christmas parties, Family Day, employee engagement activities, and Spirit Days
- Complimentary Employee Assistance Program (EAP) for all employees and their dependents
About the Role
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Serves as an Insurance Claims Specialist within the billing office.
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Responsible for managing insurance collections, working outstanding reports, handling audit logs, and addressing patient billing inquiries.
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Plays a key role in ensuring timely and accurate insurance claim resolution and supporting the overall financial operations of CIS.
How You’ll Drive Our Mission Forward
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Work daily on insurance collection accounts by correcting, refiling, or adjusting claims as needed.
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Manage incoming mail, including refund requests and insurance information requests, ensuring timely and appropriate follow-up.
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Stay current on insurance policy changes, coding guidelines (CPT, ICD, CCI, global), and payer-specific updates to ensure billing accuracy.
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Respond to patient inquiries regarding billing and insurance matters with professionalism and clarity.
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Regularly follow up on claims and work outstanding and credit balance reports to minimize revenue cycle delays.
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Maintain detailed logs of audits, including pre-payment audits, supporting compliance and financial transparency.
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Support CIS’s mission by performing any additional duties needed to ensure excellent service and operational success.
What Makes You a Great Match
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High school graduate preferred.
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Strong organizational and time management skills to handle multiple tasks efficiently.
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Ability to work independently and prioritize responsibilities in a fast-paced environment.
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Competency in computer systems, particularly those used for billing and insurance claims.
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Experience with telephone collections is preferred but not required.
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A proactive attitude and commitment to supporting CIS’s patient-first philosophy and operational goals.