Insurance Processor

Ponca City Development Authority

Job Location:

Newkirk, OK - USA

Monthly Salary: Not Disclosed

Posted on: Yesterday

Vacancies: 1 Vacancy

Job Summary

KAW NATIONPOSITION DESCRIPTION

TITLE: INSURANCE PROCESSOR

IMMEDIATE SUPERVISOR: HEALTH DIRECTOR

CONTROLLING SUPERVISOR: Chair

STATUS: Regular full-time

LOCATION: Newkirk OK

QUALIFICATIONS:

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.

All new hires will be required by the Kaw Nation to submit to a pre-employment drug screen. Failure to pass the pre hire drug screen will lead to withdrawal of the job offer or termination of employment. All new hires must be able to stand walk stoop bend kneel pull push and lift a minimum of 25 lbs.

Required Experience:

Manager

KAW NATIONPOSITION DESCRIPTIONTITLE: 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. W...