Insurance Officer Full Time

Job Overview:

This position will play a key role in supporting the finance and insurance teams with essential daily tasks, including processing medical claims, handling authorizations, submissions, and resubmissions. Reporting to the Supervisor, you’ll ensure all insurance operations follow M42’s procedures, helping streamline processes and contribute to efficient patient care.

• Ensure accurate processing of insurance and corporate claims, adhering to contracts for timely reimbursement.
• Provide customer support for insurance verification, eligibility, and preauthorization.
• Collaborate with staff to ensure accurate entry of insurance information and compliance with billing guidelines.
• Maintain organized records and manage claims correspondence with insurance and corporate clients.
• Track payments, manage outstanding balances, and support other departments in the revenue cycle process.
• Analyze claim adjustments, bad debt provisions, and develop reports for performance measurement.
• Contribute to the development and improvement of insurance guidelines and processes.

• Bachelor’s Degree in Finance, Accounting,Business Administration or related fields.
• At least 2 years of progressive career experience in Insurance environment in a hospital facility.
• Experience in Long Term Care and resubmissions
• Coding Certificate by AAPC or AHIMA is required.