Insurance Claims Specialist

Who We Are:

Cardiovascular Institute of the South, a leading organization dedicated to advancing heart health through innovation and excellence, is part of a national cardiology platform, Cardiovascular Logistics (CVL). Together, we share the same mission to provide our patients with the highest quality cardiovascular care available. Join our team and be a part of an organization that is dedicated to improving patient outcomes and shaping the future of heart health.

What We Offer:

• Choice of three health insurance plans
• Dental insurance coverage
• Vision insurance coverage401(k) with company match and profit-sharing plan
• Company-paid short-term and long-term disability coverage
• Company-paid life insurance for you and your family
• Access to company-provided training and educational resources
• Eligibility for annual merit-based performance increases
• Accrued General Purpose Time (GPT)
• Eight company-paid holidays
• Special company events, including Christmas parties, Family Day, employee engagement activities, and Spirit Days
• Complimentary Employee Assistance Program (EAP) for all employees and their dependents

About the Role

• Serves as an Insurance Claims Specialist within the billing office.
• Responsible for managing insurance collections, working outstanding reports, handling audit logs, and addressing patient billing inquiries.
• Plays a key role in ensuring timely and accurate insurance claim resolution and supporting the overall financial operations of CIS.

How You’ll Drive Our Mission Forward

• Work daily on insurance collection accounts by correcting, refiling, or adjusting claims as needed.
• Manage incoming mail, including refund requests and insurance information requests, ensuring timely and appropriate follow-up.
• Stay current on insurance policy changes, coding guidelines (CPT, ICD, CCI, global), and payer-specific updates to ensure billing accuracy.
• Respond to patient inquiries regarding billing and insurance matters with professionalism and clarity.
• Regularly follow up on claims and work outstanding and credit balance reports to minimize revenue cycle delays.
• Maintain detailed logs of audits, including pre-payment audits, supporting compliance and financial transparency.
• Support CIS’s mission by performing any additional duties needed to ensure excellent service and operational success.

What Makes You a Great Match

• High school graduate preferred.
• Strong organizational and time management skills to handle multiple tasks efficiently.
• Ability to work independently and prioritize responsibilities in a fast-paced environment.
• Competency in computer systems, particularly those used for billing and insurance claims.
• Experience with telephone collections is preferred but not required.
• A proactive attitude and commitment to supporting CIS’s patient-first philosophy and operational goals.