Insurance Claims Analyst
2 weeks ago
Position Overview:
As an Insurance Claims Analyst, you will play a crucial role in the resolution of outstanding insurance claims. This position offers a starting wage of $17.50 per hour and is primarily on-site, with the possibility of a hybrid schedule following a 90-day probationary period.
Are you someone who enjoys problem-solving and thorough research? If you are results-driven, this role could be an excellent fit for you within Select Medical. Our dedicated team is focused on ensuring that our patients experience minimal disruption due to unresolved claims.
Key Responsibilities:
- Conduct thorough investigations and follow-ups on all outstanding balances for accounts that have received payments or denials, or that are over 30 days old from billing.
- Reach out to responsible parties to ascertain reasons for non-payment, documenting all verbal and written communications in the system, and ensuring timely follow-ups to facilitate payment resolution.
- Maintain a consistent and productive follow-up routine, ensuring that no more than 30 days elapse between account follow-ups.- Manage a workload of 20 to 25 accounts daily, with adjustments based on operational needs and volume fluctuations.
- Initiate outgoing communications with patients, insurance providers, and legal representatives regarding claim statuses to expedite the collection of outstanding receivables.
- Collaborate regularly with hospital personnel and departmental management to address any accounts receivable challenges or trends with problematic payors.
- Identify and rectify issues that hinder the timely collection of open receivables.
- Request account adjustments as necessary, including write-off and refund requests.
- Inform database operations of any changes or additions related to payors, plans, contracts, addresses, or other relevant information.
- Meet productivity and collection targets as established by management.
- Perform additional duties or special projects as assigned.
Qualifications:
Required:
- High School Diploma or Equivalent
- Minimum of one year of experience (two years for remote candidates) in medical billing, collections, or claims processing.
Preferred:
- Proficient computer skills
Microsoft Office:
- Outlook
- Excel
- Ability to navigate multiple software applications simultaneously.
- Strong interpersonal, oral, and written communication skills.
- Experience in a metrics-driven role, where production and quality standards are upheld.
- Excellent time management and organizational skills.
- Proven ability in investigative research.
- Capacity to work independently and collaboratively to achieve shared goals.
- Attention to detail and adaptability to change.
This position requires access to confidential and sensitive information, necessitating ongoing discretion and secure information management.
Benefits:
As a valued member of the Select Medical team, you will enjoy:
- A comprehensive orientation program that is fully paid.
- Paid Time Off (PTO) and Extended Illness Days (EID).
- Health, Dental, and Vision Insurance; Life insurance; Prescription coverage.
- A 401(k) retirement plan with company matching.
- No weekend work requirements.
Working Conditions:
- Office Environment
- Hybrid Remote Work Structure
- Extended periods of sitting
- Ability to lift up to 35 lbs.
Select Medical is committed to fostering a diverse workforce and is an equal opportunity employer. We consider qualified applicants for employment without regard to race, color, religion, national origin, citizenship, age, sex, sexual orientation, gender identity, marital status, ancestry, physical or mental disability, veteran status, or any other characteristic protected under applicable law.
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