Pine Belt Mental Healthcare Resources

Insurance Specialist

Pine Belt Mental Healthcare Resources, Hattiesburg

Summary: Pine Belt Mental Healthcare Resources is seeking a diligent and caring Insurance Specialist to work in the administrative department in Hattiesburg, MS. The Insurance Specialist will play a vital role in the billing operations of the agency. The ideal Insurance Specialist will have experience working with billing functions, such as processing claims and denials.
For 50 years, Pine Belt Mental Healthcare Resources has served individuals throughout the Pine Belt. Through an extensive continuum of care, we strive to enable adults with serious mental illnesses, children with serious emotional disturbances, and individuals with an addiction or developmental disability to live, work, learn, and participate fully in their communities. Our eighteen county service area includes Amite, Franklin, Forrest, Hancock, Harrison, Jones, Lamar, Lawrence, Covington, Greene, Jeff Davis, Marion, Pearl River, Perry, Pike, Stone, Walthall, Wayne Counties.
Requirements:

High School Diploma or Bachelors Preferred

Associate's degree in business/clerical preferred

Experience working with billing software preferred

Ability to think independently to determine direction of workflow and workload

Excellent communications skills required

Proficiency in Microsoft Office software, including data entry and calculating formulas in Excel required

Responsibilities:

Responsible for claims submissions for insurance payors.

Reviews and edits reports and/or other resources to make corrections as needed to ensure "clean claims" are submitted and keeps denials to a minimum.

Monitors and reviews pre-authorizations to ensure pre-authorization information is submitted appropriately with claims.

Posts/applies payments to client accounts in billing system.

Reviews denied claims for determination on need for correction/rebill or write-off and appropriately processes each.