Insurance Claims Specialist 

The Kid Spot Center is seeking out an Insurance Claims Specialist. The purpose of the job is to ensure all payments are received, forwarded to appropriate person or secondary insurance, as needed, and payments posted.

Click here to apply 

Job Type

Full time

Hours

Day shift 

Benefits

Paid time off, holiday pay, sick pay, 401K matching, Life insurance, health, dental and vision insurance, continuing education, and much more! 

Requirements 

Education/Experience

  • BA in Business Administration or finance related field preferred.

  • High school diploma or equivalent required.

  • Three or more years' experience in medical insurance billing.

License/Certification

  • Must have ability to pass and maintain current CPR/First Aid certification

Skills

  • Excellent communication skills, both verbal and written

  • Organized and able to follow through and complete tasks

  • Team Player

  • Completing task with deadlines

  • Attention to detail and ability to multitask

  • Maintain a positive attitude

  • Stays calm under pressure

  • Good with numbers and attention to details

Duties and Responsibilities 

  • Divide and finalize EOBs

  • Analyze all denied claims

  • Print all denied claims and place in tracking binder

  • Follow up on research/reprocess claims within the appropriate time frame

  • Check patient charges if private pay 

  • File paperwork/claims

  • Communicate with insurance companies regarding denials and or/issues

  • Sort deposits by locations and turn in weekly deposit log

  • File appeals if needed

  • Be persistent with insurance companies regarding claim payments

  • Keep up with top priority denials