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Insurance Specialist

Location: Towanda, Pennsylvania
Work Setting: Hospital
Job Function:
Job Type:


Joining the Guthrie team allows you to become a part of a tradition of excellence in health care. In all areas and at all levels of Guthrie, you’ll find staff members who have committed themselves to serving the community.

Job Description

Responsible for non-complex electronic and paper claim submissions to insurance payers. Coordinates required information for filing secondary and tertiary claims reviews and analyzes claims for accuracy, i.e. diagnosis and procedure codes are compatible and accurate. Makes charge corrections or follows up with appropriate parties as needed to ensure billing invoice is correct. Follows up with payers on unresponded claims. Works denied claims by following correct coding and payer guidelines resulting in appeal or charge correction. Teams with Insurance Billing Specialist II and Denial Resolution staff to work projects, request guidance on more complex billing issues and cross training for other payers and tasks. Responds to a variety of questions from insurance companies, government agencies and all Guthrie Medical Group offices. Partners with CRC and other Guthrie departments to field billing inquiries. Answers all correspondence from insurance carriers including requests for supportive documentation.

Required Qualifications

Strong organizational and customer service skills a must. Experience with office software preferred. Ability to read, understand, and follow oral and written instructions. Prior coding, billing, and medical terminology experience helpful.

Education Qualifications

Minimum of GED/high school diploma required; prefer associate’s degree


Health insurance,
Dental insurance,
Life insurance,
Disability insurance,
workers compensation,
Paid time off (PTO) program,
Bereavement leave,
Retirement benefits,
Tuition reimbursement,
Flexible spending accounts,
Employee assistance programs,
Employee discounts

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Posted: May 21, 2021 at 2:21 PM
Post ID: 60869

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