Insurance Claims Specialist

4 weeks ago


Tinley Park, Illinois, United States Tanner Health System Full time
Job Summary

The Insurance Specialist plays a crucial role in ensuring timely and accurate processing of insurance authorizations and precerts. This position requires strong analytical and problem-solving skills to identify and resolve issues, as well as excellent communication skills to work effectively with internal and external stakeholders.

Key Responsibilities
  • Process and follow up on insurance authorizations and precerts in a timely manner
  • Review trial balances to identify and resolve problem areas
  • Formulate action plans and prioritize work to ensure efficient use of resources
  • Analyze results and customer service functions to improve overall performance
  • Report errors and controllable denials to ensure training and corrections are implemented
Requirements
  • High School Diploma or equivalent
  • Two years of related experience in insurance billing or collections, or a related field
  • Working knowledge of specialized practices, equipment, and procedures
  • Ability to analyze and prioritize workloads
  • Excellent verbal communication skills
  • Proficiency in spelling, business letter writing, and medical terminology
  • Ability to work closely with others and function as a team member


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