Insurance Specialist

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.