Insurance Claims Specialist

4 days ago


Knoxville, Tennessee, United States Helen Ross McNabb Center Full time
Job Summary

The Helen Ross McNabb Center is seeking a highly skilled Insurance Claims Specialist to join our team. As an Insurance Claims Specialist, you will be responsible for obtaining and verifying a client's commercial insurance coverage and ensuring that procedures are covered by an individual's insurance.

Key Responsibilities
  • Obtain and verify client insurance coverage
  • Enter data in an accurate manner and update client benefit information in the organization's billing system
  • Perform auditing and resolution-centered activities, answering questions about coverage to internal and external sources
  • Identify insurance errors and recommend solutions
  • Work regular office hours at the designated facility
Requirements
  • Advanced use of computer system, software, Excel, Outlook, and Microsoft
  • Knowledge of Centricity is a strong plus
  • Knowledge of insurance guidelines, including HMO/PPO, Commercial, Medicare, Medicare Advantage, TN Care's, Medicaid, and Private Pay
  • Ability to work well in a team environment and alone
  • Strong written and verbal communication skills
  • Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA)
  • Knowledge of the center's Policies and Procedures
  • Ability to maintain records and prepare reports and correspondence related to the position
Work Environment
  • Business casual dress code required
  • Employees can use their phones during breaks or at lunch hour
  • Employee must observe and be respectful of co-workers
  • The use of cameras on cell phones during work time is prohibited
  • Employees are permitted two 15-minute breaks and one hour lunch
  • Employees must work the agreed-upon work schedule
Compensation
  • Starting salary for this position is approximately $18.42/hr based on relevant experience and education


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