Insurance Claims Resolution Specialist

3 weeks ago


Elmhurst, Illinois, United States Beacon Hill Staffing Group Full time

About Beacon Hill Staffing Group

We are a leading staffing agency that connects talented professionals with top healthcare clients. Our mission is to provide exceptional service and support to both our clients and candidates.

Job Title: Insurance Claims Resolution Specialist

Salary: $45,000 - $55,000 per year

This is a unique opportunity to join our team as an Insurance Claims Resolution Specialist, working closely with healthcare clients to resolve insurance claims and improve patient outcomes.

Job Description

The Insurance Claims Resolution Specialist will be responsible for pursuing reimbursement of services rendered and achieving accounts receivable resolution. This role involves actively calling payer organizations or utilizing web-based connectivity to resolve open accounts receivables and delinquent accounts.

Responsibilities

  • Resolving denials and appeals within 72 hours of receipt
  • Resolving unpaid claims that are greater than 60 days from date of service
  • Reviewing previously worked claims a minimum of every 30 days
  • Documenting daily accounts/claims worked on a productivity board
  • Able to work 64 to 80 accounts daily
  • Strong office and typing skills
  • Attention to detail
  • Positive attitude and ability to work independently and within a team

Qualifications

  • High school diploma or equivalent accepted, college preferred
  • A minimum of 1-2 years of experience in revenue cycle collections required
  • Previous experience in EMS preferred
  • Knowledge of CPT, ICD-9/10, and HCPCS codes
  • Sharp intelligence of government payers and other commercial/managed care carrier rules and processes in a professional billing environment
  • Attention to detail with the ability to identify/resolve problems and document the outcome
  • Strong written and verbal communication skills
  • Excellent analytical and problem-solving skills
  • Ability to multi-task and recognize trends to effectively work A/R
  • Intermediate skills with Microsoft Office applications: Word, Excel
  • Initiative to learn new tasks and the ability to apply acquired knowledge to future duties

Benefits

We offer a competitive salary, opportunities for career growth, and a supportive work environment. If you are a motivated and detail-oriented individual with a passion for resolving insurance claims, we encourage you to apply for this exciting opportunity.

About the Role

This role requires a strong understanding of insurance claims and the ability to work independently with minimal supervision. The ideal candidate will have excellent communication skills, attention to detail, and the ability to work in a fast-paced environment. If you are a team player with a passion for healthcare and insurance claims resolution, we encourage you to apply for this exciting opportunity.



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