• Evaluate unpaid and underpaid insurance claims for denial reasons and determine strategies for appeals for full collection.
• Work with various insurance companies, carriers, and other government and commercial agencies responsible for processing healthcare claims
• Ensure timely contact and follow up with related parties for prompt resolution on claims
• Perform other miscellaneous related duties as assigned

• High School diploma or GED equivalent required
• Knowledge of medical terminology, billing, coding, and insurance coverage helpful
• 1+ year(s) of experience in a healthcare or insurance setting
• Strong analytical skills
• Independent problem-solving abilities
• Excellent verbal and written communication skills
• Detail-oriented with good organizational and time management skills
• Basic office skills and computer literacy required
• Must be able to type 35 WPM

This position requires access to confidential protected health information (PHI). Our employees are expected to protect the privacy of all PHI in accordance with Health Advocates’ privacy policies and procedures and as required by state and federal law including but not limited to the HIPAA Security and Privacy Rule.

Health Advocates is an equal opportunity employer. We believe all of our employees should be treated fairly, consistently, and with dignity and respect. Our goal is to maintain a satisfied and productive team of employees. The keys to reaching that goal are effective leadership, fair and competitive wages and benefits, dedication to the job, and close attention to employee relations matters.

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