Insurance Specialist – Eastern Time Zone

Role Overview

• Reduce outstanding accounts receivable by managing claims inventory
• Speak to patients and insurance companies in a professional manner regarding their outstanding balances
• Gather information from patients, clients/family members, clinical areas, government agencies, employers, third-party payors to register patients, gather information, obtain referrals and pre-authorizations, complete forms, conduct evaluations, determine eligibility, and identify sources of payment
• Request, input, verify, and modify patient’s demographic, primary care provider, and payor information
• Provide excellent customer service and timely response to questions and issues related to benefits, billing, claims, payments
• Answer questions by phone and provide quotes for services
• Utilize various databases and specialized software for revenue cycle activities
• Explain charges, answer questions, and communicate requirements, policies, and procedures regarding financial care services to patients, staff, payors, and agencies
• Work with Claims and Collections to assist patients and their families with billing and payment activities

Requirements

• High School Diploma/GED
• 2+ years of Denials Management experience
• 2+ years Medical Billing/Follow-up experience
• Medicare, Medicaid, and commercial payor experience
• Proficiency with PC-based applications (Microsoft Outlook, Word, and Excel)
• Download speed of 30MB or higher & upload speed of 10MB or higher are REQUIRED.
• Access to a Secure and Private workspace
• Employment eligibility: Must be legally authorized to work in the United States without sponsorship

Benefits

• Comprehensive paid training
• Medical, dental, and vision insurance
• HSA and FSA available
• 401(k) with company match
• Paid Wellness Time and Holidays
• Employer paid life insurance and long-term disability
• Internal growth opportunities