Claims Specialist
2 weeks ago
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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