Job description
Job Summary:
The Medical Insurance Specialist teams perform several types of work and coordinates information between the patients, insurance companies and our clients. Job functions include patient pre-registration, pre-adjudication, post adjudication and cash postings. This person will be expected to display strong customer service and communication skills to properly assist providers and patients with resolving medical claims.
Responsibilities:
- Follow up with insurance companies to investigate the claim processing specifics, including denials.
- Appeal the insurance’s processing decision (verbally or written) to request a reconsideration.
- Review benefits with patients and obtain necessary authorizations.
- Review claims and correct any errors.
- Provides quality and timely experiences through all interactions, ensuring professional and accurate resolution-both verbally and in writing.
- Completes payment entry in a timely and accurate manner.
- Multitasks between a variety of technology, systems, tools, and resources to support departmental workflows.
Qualifications:
- Experience preferred but not necessary
- H.S. Diploma/GED
- Must be able to complete and clear background check
- Must be able to work a schedule Monday-Friday 8:00am-5:00pm CST
- Strong Organizational skills
- Strong problem-solving skills
- Strong written and oral communication skills
- Time management and sound decision-making skills
Benefits:
- Full comprehensive paid training program
- Ability to earn meaningful performance incentives on a Quarterly basis
- Career advancement opportunities
- Health, Dental, Vision, Disability, and Life Insurance
- Paid time off and Holiday Pay
- 401(k) plan with company match
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