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Insurance Specialist – Collections
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.
