Insurance Specialist – Collections

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Job Description:

  • Provides service via all available omni channels to serve as the liaison between the business, clients, patients, and other parties, such as insurance companies.
  • Offers education on the healthcare revenue cycle and troubleshoots accounts through resolution by reviewing large balance accounts and other departmental insurance discovery processes.
  • Engages in and enjoys active listening with callers, confirming or clarifying information and diffusing conflict.
  • Makes appropriate changes or documentation in client healthcare systems and internal technology platforms.
  • Submits claims to insurance providers on behalf of our clients for their patients, following through to resolution.
  • Contributes to the development of workflows for incoming clients, developing procedures and communicating expectations to the contact center.
  • Proactively shares information about healthcare revenue cycle services to support the growth of the business’s client and/or account base.
  • Follows department processes and procedures in compliance with industry laws and regulations.
  • Manages inventory to ensure metrics are being met to patient’s accounts are not being sent to collections prior to resolution.
  • Reviews and escalates complex accounts requiring additional review.
  • Meets the key performance indicators and expectations established for the position.
  • Performs all duties above with the highest integrity and confidentiality.
  • Completes assigned training and learning plans, including those that fulfill industry compliance requirements.
  • All other duties as assigned.

Requirements:

  • 1+ year(s) of experience in a customer service capacity required, preferably in a contact center environment
  • 1+ year(s) of experience multi-tasking in a fast-paced environment required
  • 1+ year(s) of experience with medical insurance, coding, or billing in a professional environment
  • High School Diploma / GED required
  • Preferred Education: Two Years of College or Associate's Degree

Benefits:

  • Comprehensive Health Coverage : Enjoy medical, dental, and vision plans available starting after 60 days of full-time employment.
  • Life & Disability Insurance : Benefit from basic life/AD&D, short-term, and long-term disability coverage, with optional voluntary life/AD&D plans.
  • 401(k) Plan : Eligible to participate in the company’s 401(k) plan after three (3) months of continuous service.
  • Paid Time Off (PTO) : Start accruing PTO from your very first day of employment.
  • Flexible Benefits : Customize your benefits package to fit your personal and family needs.
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