What are the responsibilities and job description for the Insurance Specialist position at Golden Technology?
Job Description
Our client is looking for a Medical Coding & Insurance Specialist to join their team! This role plays a critical part in ensuring seamless billing and reimbursement processes for Managed Care and private dental insurance companies and organizations. Responsibilities in this role include:
Claims and Billing:
- Review treatment notes to ensure all coding, Medical and Dental, are accurate as well as the diagnosis.
- File Medical and Dental insurance claims for privately insured patients.
- Ensure accurate submission of supporting clinical documentation (e.g., X-rays, chart notes, letters of necessity).
- Investigate and appeal denied claims, following up to resolution.
Accounts Receivable Management:
- Maintain an in-depth understanding of Medical and Dental insurance industry standards, billing practices, and reimbursement processes.
- Audit patient records regularly to ensure billing, coding, and clinical documentation accuracy.
- Scan and manage critical insurance documentation in electronic patient records.
Patient and Provider Support:
- Answer inquiries regarding Medical and Dental insurance benefits, claim status, and account summaries.
Top skills you need to have:
- Certified Medical Coder
- Specialized knowledge of Medical Coding, Dental and Medical insurance policies, contracts, and billing standards.
- Proficiency in Medical and Dental terminology, procedural and diagnostic coding, and medical-dental cross-coding.
- Experience with electronic claims processing and insurance vendor protocols.
- Strong understanding of accounts receivable management principles.
- HIPAA Compliance: Knowledge of and adherence to HIPAA regulations is required.
- Exceptional attention to detail and organizational skills.
- Excellent communication and problem-solving abilities.
- Ability to work collaboratively with insurance carriers, patients, and clinic providers.
About Golden Technology
Golden Technology was founded in 1997 with the goal of developing people and driving innovation. In other words, our aim is to pair world-class technologists like you with amazing companies that are doing impactful work.
After an initially slow start, and way too many late nights playing Final Fantasy 7, Golden Technology built a unique recruiting engine that would quickly prove itself to deliver top-tiered talent to fortune 500 clients across the US, time and time again.
Golden Technology has built a culture around family and helping the people we touch succeed in both their work and personal lives. Oh, everyone says that? Try us, you’ll see it.
We’re helping people find their calling and their dream jobs; and through our Golden Community initiatives we are actively working to improve the communities in which we work, live, and play.
