Insurance Processor
Ponca City Development AuthorityNewkirk, OK
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Overview
Schedule
Full-time
Career level
Senior-level
Job Description
KAW NATION POSITION DESCRIPTION
TITLE: INSURANCE PROCESSOR IMMEDIATE SUPERVISOR: HEALTH DIRECTORCONTROLLING SUPERVISOR: ChairSTATUS: Regular, full-timeLOCATION: Newkirk, OKQUALIFICATIONS:
Requires a High School Diploma or GED with a minimum of 2 years experience in a clinical/physician office setting. Work history should reflect knowledge of medical terminology, ICD-9, ICD-10, CPT coding, and third-party billing. Familiarity with EOBs, ERA posting, and claim follow-up processes. Must be proficient in computer skills including Microsoft Word and Excel. Must have excellent attention to detail, communication, and problem-solving skills. Must have a valid driver license and be insurable.RESPONSIBILITIES AND DUTIES:- Post insurance payments via EOB or ERA, adjustments, and refunds with accuracy and timeliness.
- Maintain account reconciliation log.
- Review and correct claim denials and rejections, resubmit claims as needed.
- Conduct regular follow-up on aged and unpaid claims to ensure timely resolution.
- Communicates with insurance companies to verify claim status, resolve discrepancies, appeal denials, and covered benefits.
- Maintain compliance with HIPAA and payer regulations.
- Prepare, submit, and track secondary/tertiary claims.
- Ensures accurate and timely reimbursement for services rendered.
- Performs other duties, consistent with the position, as required or assigned by the immediate supervisor or controlling supervisor.
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Submit 10x as many applications with less effort than one manual application.