![Lee Health](https://media.trabajo.org/img/noimg.jpg)
Insurance Claims Specialist
1 month ago
Location:Santa Barbara Professional Center -224 Santa Barbara BlvdCape Coral FL 33991
Department: Patient Business Office
Work Type: Full Time
Shift: Shift 1/8:00:00 AM to 4:30:00 AM
Minimum to Midpoint Pay Rate:$ $18.75 / hour
SummaryManages accounts receivable to ensure timely and accurate billing and reimbursement of patient accounts. Assists customers and co-workers with inquiries and promotes positive customer and internal relations. Does the appropriate follow-up of weekly and monthly reports on assigned accounts, (collection calls, emails, adjustments, billing etc.) while utilizing all appropriate programs and tools available to enhance productivity and continuously improve efficiency. Calculates appropriate adjustments and contract calculations, while assuring that accounts are updated and reflect accurate information at all times. Files contractual underpayment denial appeals to insurance companies using the most efficient means available and utilizes appropriate audit codes. Responsible for processing all job-related correspondence from insurance companies, patients or from internal system departments according to department policy. Reviews all Credit balances including analysis of the EOBs to accurately determine if there is a true overpayment on the account.
Must promote positive employee and customer relations and have the ability to work independently or within a positive team environment is essential. Must have the capability to track problems and trends and report them to the Management. Applies applicable adjustments and utilizes all avenues of reimbursement prior to assigning an account to self-pay. This job requires the ability to be multi-task oriented while using critical thinking skills to appropriately handle complexity and stress of the position and with regard to the ever-changing needs of the Health System while displaying excellent customer service at all times. A friendly personality and positive attitude required. Previous healthcare or financial related experience necessary. Previous experience with insurance collections within a hospital or medical office setting is also preferred.
RequirementsEducational RequirementsDegree/Diploma ObtainedProgram of StudyRequired/Preferredand/orHigh School Diploma or EquivalentRequiredorExperience RequirementsMinimum Years RequiredArea of ExperienceRequired/
Preferredand/or1 YearBilling/InsurancePreferredState of Florida Licensure RequirementsLicensesRequired/
Preferredand/orNot RequiredCertifications/Registration RequirementsCertificates/RegistrationsRequired/
Preferredand/or
US:FL:Cape Coral
-
Insurance Claims Specialist
3 months ago
Cape Coral, Florida, United States Lee Health Full timeLocation:Santa Barbara Professional Center -224 Santa Barbara BlvdCape Coral FL 33991Department: Patient Business OfficeWork Type: Full TimeShift: Shift 1/8:00:00 AM to 4:30:00 PMMinimum to Midpoint Pay Rate:$ $18.75 / hourSummaryProvides claim follow up, resolution of and payment from insurance companies for unpaid claims of LMHS employed physicians. Duties...
-
Claims Processing Specialist
1 week ago
Cape Coral, Florida, United States Lee Health Full timePosition Overview: The Insurance Claims Specialist plays a vital role in the financial operations of our healthcare organization.Location: This position is based in the billing department.Employment Type: This is a full-time role with a standard work schedule.Compensation: The starting pay is competitive and commensurate with experience.Key...
-
Claims Processing Specialist
1 week ago
Cape Coral, Florida, United States Lee Health Full timePosition Overview: The role of the Insurance Claims Specialist involves managing and overseeing the billing processes for healthcare services.Employment Details: This is a full-time position with standard working hours.Compensation: The starting salary is competitive and commensurate with experience.Key Responsibilities:Efficiently handle billing for...
-
Insurance Customer Service Representative
5 days ago
Cape Coral, Florida, United States Great Florida Insurance Full time**Job Summary**At Great Florida Insurance, we are seeking a highly skilled and experienced Insurance Customer Service Representative to join our team. As an Insurance Customer Service Representative, you will be responsible for providing exceptional customer service and support to our clients.**Key Responsibilities:**Respond to customer inquiries and resolve...
-
Insurance Claims Coordinator
3 days ago
Coral Gables, Florida, United States DOCTORS HEALTHCARE PLANS, INC. Full timeThe primary role of a Benefits Coordination Specialist is to facilitate the coordination of benefits between Doctors Healthcare Plans, Inc. and various insurance providers that may be responsible for the services rendered to our members. Key Responsibilities:Evaluate, process, investigate, and resolve claims involving additional insurance carriers.Manage and...
-
Claims Processing Specialist
1 week ago
Cape Coral, Florida, United States Lee Health Full timePosition Overview:As a vital member of our billing department, you will be responsible for the accurate processing of physician claims, ensuring timely follow-up and resolution of any denials. Your role will involve reconciling accounts receivable by diligently working through assigned reports, while maintaining a high volume of productivity. Key...
-
Insurance Customer Support Specialist
1 week ago
Cape Coral, Florida, United States Brightway Insurance Full timePosition OverviewBrightway Insurance is in search of a motivated individual to deliver outstanding support to our clients and policyholders. Your role will involve assisting a licensed insurance agent with various policies, guiding prospective clients on coverage options, and facilitating the conversion of quotes into active policies. Key...
-
Claims Processing Expert
1 week ago
Cape Coral, Florida, United States Lee Health Full timePosition Overview:This role is situated within a dynamic healthcare environment, focusing on the management of insurance claims and billing processes. The successful candidate will engage in comprehensive claims billing, follow-up, and resolution of denials, ensuring the reconciliation of accounts receivable through diligent report management.Key...
-
Claims Processing Expert
3 days ago
Cape Coral, Florida, United States Lee Health Full timePosition Overview:This role is based within a dynamic healthcare environment, focusing on the management of insurance claims. The successful candidate will be responsible for the accurate billing of physician claims, ensuring follow-up on submissions, and resolving any denials that may arise.Key Responsibilities:- Manage accounts receivable through diligent...
-
Insurance Customer Support Specialist
1 week ago
Cape Coral, Florida, United States Brightway Insurance - Cape Coral Full timeJob OverviewWe are looking for a motivated individual to deliver outstanding customer support to our clients and policyholders. In this role, you will assist a licensed insurance agent with various insurance policies, guide potential clients on coverage options, and help convert quotes into active policies.Compensation:$15 - $17 hourlyKey...
-
Insurance Authorization Specialist
1 week ago
Cape Coral, Florida, United States Millennium Physician Group Full timeJob OverviewPosition: Insurance Authorization SpecialistEmployment Type: Full-Time (Monday-Friday 8AM-5PM)Company: Millennium Physician GroupMillennium Physician Group is actively seeking a dedicated Insurance Authorization Specialist to enhance our Referral and Authorization team. We are in search of an enthusiastic individual who thrives on patient...
-
Healthcare Claims Specialist
1 week ago
Coral Gables, Florida, United States EDI Staffing Full timeOverview: A prominent opportunity exists for a Claims Processing Analyst to become an integral part of a dynamic Claims Department. This role is pivotal in ensuring the precise and prompt evaluation of healthcare claims while adhering to established departmental protocols and industry regulations.Key Responsibilities: Thoroughly assess and process all...
-
Insurance Verification Specialist
3 days ago
Coral Gables, Florida, United States InsideHigherEd Full timeJob SummaryWe are seeking a highly organized and detail-oriented Insurance Verification Representative to join our team. The successful candidate will be responsible for ensuring that proper insurance authorizations are processed prior to patients' appointments, ensuring a smooth and efficient visit for the patients.Key ResponsibilitiesVerify insurance...
-
Claims Operations Leader
3 days ago
Coral Gables, Florida, United States SNI Companies Full timeJob Title: Claims Operations LeaderJob OverviewSNI Companies is seeking a skilled Claims Operations Leader to oversee our claims division. The successful candidate will be tasked with managing daily functions, including claims evaluation, processing, and client relations, ensuring that all activities comply with industry standards and regulatory...
-
Client Relations Specialist
1 week ago
Cape Coral, Florida, United States Brightway Insurance - Cape Coral Full timeJob OverviewWe are seeking a motivated individual to deliver outstanding customer support to our clients and policyholders. In this role, you will assist a licensed agent with insurance matters, guide prospective clients on coverage options, and help convert quotes into active policies. If you possess prior experience in customer service within the insurance...
-
Lawn Care Specialist
1 week ago
Cape Coral, Florida, United States Arrow Exterminators Full timeLawn Care SpecialistCompany Overview:Hughes Exterminators, a proud member of the Arrow Exterminators family, is a family-owned business that has been serving communities since 1964. We have expanded our reach across 12 states, providing exceptional service to our customers.Position Summary:We are seeking a dedicated full-time Lawn Care Specialist to deliver...
-
Breast Imaging Specialist
1 week ago
Cape Coral, Florida, United States Radiology Regional Center Full timeNow Hiring – Breast Imaging Specialist Location: Cape Coral, FL – On-site Radiology Regional Center is a leading provider of diagnostic imaging services, renowned for our commitment to patient care and community health. We are in search of a dedicated individual who is passionate about delivering exceptional care to the populations we serve. With over 50...
-
Client Relationship Specialist
1 week ago
Cape Coral, Florida, United States Wintrust Financial Full timeAbout Wintrust Financial:Wintrust is a prominent financial holding company managing approximately $50 billion in assets and publicly traded on the NASDAQ: WTFC.Our foundation is built on the "HAVE IT ALL" philosophy, combining advanced technology and the resources of a large financial institution while prioritizing personalized, service-oriented community...
-
Senior Insurance Verification Specialist
5 days ago
Coral Gables, Florida, United States InsideHigherEd Full timeSenior Insurance Verification Specialist at InsideHigherEdWe are seeking a Senior Insurance Verification Specialist to join our team at InsideHigherEd. The role involves verifying insurance eligibility and authorization for various insurance carriers.Key Responsibilities:Verify insurance information with patients for appointments and servicesUpdate financial...
-
Breast Imaging Specialist
1 week ago
Cape Coral, Florida, United States Radiology Regional Center Full timeNow Hiring – Breast Imaging SpecialistLocation: Cape Coral, FL – On-siteCompany: Radiology Regional CenterRadiology Regional Center is a leading provider of diagnostic imaging services, known for our commitment to exceptional patient care. We are currently seeking a dedicated and skilled individual who is passionate about serving the community.As a...