Insurance Auditor
Summit Medical Group - Knoxville, TN

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EXAMPLES OF DUTIES: (List does not include all duties assigned)
  • Investigates claims and formulates solutions
  • Assists in maintaining, updating and auditing the patient account information
  • Transfers charges to the correct agency or carrier, when appropriate
  • Communicates with insurance companies and patients as needed
  • Adjusts patient accounts according to established policies and procedures
  • Communicates appropriate problems, questions and / or concerns to supervisor
  • Assists colleagues in department and other office personnel, as appropriate
  • Displays initiative, when appropriate, while investigating insurance pending reports and handling other assignments
  • Adheres to all elements of the established corporate compliance plan
  • Maintains strictest confidentiality both internally and externally
  • Performs related work as assigned
Knowledge, Skills and Abilities

  • Knowledge of medical terminology, ICD-9 and CPT coding
  • Skill in data entry, processing, and computer skills
  • Knowledge of basic spelling, grammar and punctuation to process patient information
  • Ability to apply policies and principles to solve everyday problems and deal with a variety of situations
  • Ability to work effectively with physicians, patients, staff and the public
  • Ability to establish priorities and coordinate work activities
EDUCATION: High School Diploma or GED required.

EXPERIENCE: Prefer one year experience in a medical billing setting.

  • experience working Medicare, Tricare and VA denials is a plus

About this company
53 reviews
Summit Medical Group is the largest and oldest physician-owned multispecialty practice in New Jersey. In addition to its 250,000-square-foot...