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Insurance Aging Specialist

3 months ago

Mokena, United States Westside Children's Therapy Full time

**Position Summary**:
The Insurance Aging Specialist follows up on outstanding/unpaid claims with the insurance companies (either primary or secondary insurance) based on the date the claim was generated for the insurance.

**Essential Functions**:

- Research and resolve outstanding account balances, with an emphasis on maximizing patient satisfaction and practice profitability using the A/R aging reports
- Investigate insurance denials timely and follow up on unpaid claims proactively
- Communicate effectively with insurance representatives and correct issues prior to re-submitting claims, with the goal of ensuring claims are paid correctly
- Effectively monitor and manage accounts receivable and maintain within established goals and national benchmarks
- Complete medical records requests as received
- Assist in medical records audits as directed
- Adhere to all practice policies related to OSHA and HIPAA***

**Required Education, Experience and Credentials**:

- High school diploma or equivalent required

**Knowledge, Skills and Abilities**:

- Excellent verbal and written communication skills
- Excellent problem solving skills to research and resolve claims issues
- Proficient in Microsoft Office Suite or related software
- Ability to operate related office equipment, such as computers, 10-key calculator, and copier
- Ability to work independently and in a fast-paced environment
- Ability to anticipate work needs and interact professionally with insurance companies and clients

**Personal Attributes**:

- Excellent organizational skills and attention to detail
- Dedicated and reliable
- Accountable and timely

**Work Environment and Physical Demands**:

- Prolonged periods sitting at a desk and working on a computer and/or phone
- Must be able to lift up to 15 pounds at times

**Travel Requirements**
- None

**Other Duties**

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.