Medical Insurance Specialist

2 weeks ago


Tomball, Texas, United States Sentido Health Full time
Job Description

We are seeking an experienced Medical Insurance Specialist to join our team at Sentido Health. As a Medical Insurance Specialist, you will play a critical role in collecting payment on patient accounts and ensuring maximum insurance reimbursement.

The ideal candidate will have excellent communication skills, be able to manage multiple tasks, and possess a thorough understanding of Explanation of Benefits (EOBs) and remittance advice.

Salary: $41,600 - $50,000 per year, depending on experience. In addition to a competitive salary, we offer a quarterly bonus, full benefits, 401K match up to 6%, PTO 40-160 hours, and the opportunity to work in a fast-paced, self-directed environment.

Responsibilities:

  • Follow up on outstanding claims and unpaid accounts, proactively identifying and resolving billing and collection issues.
  • Resolve claim denials and discrepancies by conducting thorough research, contacting insurance companies, and appealing denials when necessary.
  • Apply a thorough understanding/interpretation of EOBs and remittance advice, including when and how to ensure that correct and appropriate payment has been received.

Requirements:

  • Experience recognizing the needs and concerns of individuals.
  • Effectively communicate orally and in writing.
  • Ability to follow verbal and written instruction.
  • Professional telephone & email etiquette.
  • Able to work in a fast-paced, self-directed environment.
  • Detail oriented with excellent time management skills.
  • Decision-making, problem resolution and creative thinking skills.
  • Responds well to multitasking while providing exceptional customer service, support, and responsiveness.

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