We are seeking an Insurance Specialist to provide extensive support services covering all aspects of claims management including review, initiation, completion, submission, and direct follow-up to the appropriate third-party payers.
Location: Middleburg Hts., Ohio – onsite for 1 month for training, then 100% remote. Must live in Ohio
Pay: $18-20.00 per hour – based on experience
Shift : First
Direct Hire Permanent Opportunity
Job Responsibilities:
- Follow-up with and resolve outstanding accounts receivable balances.
- Call payers and patients as needed to resolve claim rejections.
- Respond to payer correspondence.
- Draft appeals for denied claims.
- Research requests for insurance payment retractions.
- Research overpayments and communicate to Treasury for resolution.
- Monitor and notify management of payer trends and/or claim processing issues.
- Investigate electronic claim rejections.
- Research claim information through web portals.
- Other duties as assigned.
Requirements:
- High School diploma or GED
- Previous experience working with insurance companies over the phone.
- Knowledge of third-party billing rules and regulations.
- Ability to maintain confidentiality.
- Working knowledge of coding and medical terminology.
- Excellent written and verbal communication skills.
- Strong problem-solving skills and the ability to adapt to changes in policies, regulations, and procedures.
- High attention to detail.
- Ability to interact effectively with others.
- Ability to consistently meet production and quality goals.
- Proficient computer skills with knowledge of Microsoft Word and Excel.
*We are looking for someone who can handle stress in a fast-paced environments with multiple priorities and deadlines while adapting to a changing atmosphere. The employee will be expected to make judgement decisions, grasp new ideas, and communicate with various payers, patients, employees, and clients at all levels.