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Outstanding Insurance Specialist

Remote: 
Full Remote
Contract: 
Experience: 
Mid-level (2-5 years)
Work from: 
North Carolina (USA), United States

Offer summary

Qualifications:

Associate's degree or equivalent experience, Three to five years related experience preferred, Knowledge of CPT and ICD-10 codes, High-volume collections experience preferred, Proficiency in Microsoft Outlook.

Key responsabilities:

  • Manage accounts receivable process efficiently
  • Ensure accurate processing for timely payment
  • Assist patients with inquiries on claims
  • Conduct follow-ups and submit reimbursement appeals
  • Identify and correct billing errors

Job description

The Remote Outstanding Insurance Specialist is a critical role responsible for effectively and efficiently managing the accounts receivable process for an assigned group of payors or supported region/company. This is on in office position!

Responsibilities

• Ensures claims are processed accurately to secure timely payment.

• Responds to inquiries, questions, and concerns from patients regarding the status of claims in a clear, concise, and courteous manner.

• Conducts follow-up and submits reimbursement appeals for unpaid and/or inappropriately paid claims; ensures appropriate documentation of billing, follow-up, collection, and appeal efforts are recorded on accounts.

• Identifies, researches, and ensures timely processing of billing errors and corrections as they relate to claims; actively participates in problem identification and resolution and coordinates resolutions between appropriate parties.

Qualifications

• Associate's degree (A. A.) or equivalent from an accredited college, university or technical school; or three to five years related experience and/or training; or equivalent combination of education and experience. • Previous high-volume collections experience with PPO’s, Worker' Comp, Medicare and Medicaid strongly preferred • Working knowledge of CPT and ICD-10 codes • Previous experience and demonstrated ability to thrive in a production-driven environment • Excellent time management & multi-tasking skills • Proficiency with Microsoft Outlook suite of products; demonstrated aptitude for learning new software programs • Superior verbal and written communication skills

Required profile

Experience

Level of experience: Mid-level (2-5 years)
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Verbal Communication Skills
  • Time Management
  • Collections
  • Microsoft Outlook
  • Customer Service
  • Multitasking

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