Insurance Claims Specialist
3 weeks ago
Job Summary
We are seeking a skilled Insurance Claims Specialist to join our team at GetixHealth. As an Insurance Claims Specialist, you will be responsible for following up with insurance companies on billed claims, reviewing patient accounts for potential insurance benefit eligibility, and accessing client systems to determine insurance eligibility and filing status.
Key Responsibilities
- Follow up with insurance companies on billed claims regarding claim status and resolution of payments in a timely manner.
- Thoroughly review all notes in patient accounts for potential insurance benefit eligibility.
- Access client systems to determine insurance eligibility and filing status in order to prepare claims for billing.
- Request necessary documents from clients to perform insurance billing.
- Accurately track payments and payment verifications.
- Contact patients when additional information is required to complete billing.
- Provide thorough, efficient, and accurate documentation and updates in all required systems for each work event.
- Dependent upon position, identify root cause of issues and concerns, determine resolution, and refer to Management.
- Knowledge, understanding, and compliance with all applicable Federal, State, and Local laws and regulations relating to job duties.
- Knowledge, understanding, and compliance with company policies and procedures.
- Provide feedback to management concerning possible problems or areas of improvement.
- Make recommendations to implement improved processes.
- Perform other duties as assigned by management.
Requirements
- High School Diploma or General Educational Development (GED) certificate or equivalent relevant work experience desired.
- Previous insurance/medical billing/customer service experience preferred.
- Proficient personal computer skills, including Microsoft Office.
- Excellent interpersonal, written, and oral communication skills.
- Ability to work in a team fostered environment.
- Ability to prioritize and organize work in a multitasked environment.
- Ability to adapt to a flexible schedule.
- Ability to maintain the highest level of confidentiality.
Work Environment
Work from home once an internet speed test is successfully completed and submitted. We provide Equal Employment Opportunity for all individuals regardless of race, color, religion, gender, age, national origin, marital status, sexual orientation, gender identity, status as a protected veteran, genetic information, status as a qualified individual with a disability and any other basis protected by federal, state or local laws.
Pay range is 18 to 22 an hour, eligible for quarterly bonus. Benefits and Incentives include Comprehensive Health Coverage, Life and Disability Insurance, 401(k) Retirement Savings Plan, and Paid Time Off (PTO).
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