Claims Specialist

2 weeks ago


Chicago, United States Randstad Digital Full time

Hello,


I hope all is well I am not sure if you are still in the market looking for work as I received a couple of 12+ months (Temp-to-hire/ Perm) as a Medical Claims Retrieval Specialist with one of our top National Clients.


Mode of work: 100% Remote

Facility Zip code: 60607 (Chicago, IL)

Profession: Medical Claims Retrieval Specialist

Work Authorization/ Taxation: Citizen of the US/ Green card Holder on W2


Experience (Min.):

  • High school diploma, GED or equivalent

Duration: Monday - Friday 08.00 AM - 05.00 PM


Field of expertise

  • Demonstrated understanding of HIPAA regulations
  • Previous collections experience


Required Skill

  • Prior experience in healthcare, insurance, or collections industries.
  • Demonstrated ability to work in fast-paced, remote environments with minimal supervision.
  • Strong communication skills, including the ability to communicate professionally and effectively with medical providers and insurance representatives.
  • Knowledge of medical terminology and the insurance industry.
  • Proven track record of meeting or exceeding call targets and deadlines.
  • Familiarity with Microsoft Office.
  • Candidates with additional relevant certifications or training in medical billing, coding, or insurance will be given preference.
  • Ability to maintain a HIPAA-compliant work environment, ensuring privacy and security.
  • Metrics-focused mindset, with a commitment to continuous improvement and growth.


Responsibilities

  • Make outbound calls to medical providers and insurance companies to retrieve medical records and facilitate the claims retrieval process.
  • Utilize available resources to solve issues on the phone and reach out for help resolving claims when needed.
  • Request medical records on behalf of insurance companies for review and overcharge collection afterward.
  • Update the database with claim information and ensure the accuracy of data.
  • Meet daily/weekly/monthly call targets as set by management.
  • Actively seek feedback and apply it to improve performance and achieve objectives.
  • Continuously strive for self-improvement and professional growth.


Requirements for Client Submittal

  • Updated resume
  • Computer Navigation Quiz (Results are documented automatically) - Needs at least a 9/12 to be considered.
  • Test Link:



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