Insurance Claims Analyst
2 weeks ago
Position Overview
The Insurance Claims Analyst is responsible for optimizing the collection of insurance payments, reducing outstanding balances, and maintaining the integrity of accounts receivable. This role focuses on maximizing reimbursement for services rendered while minimizing the time required to secure payments and sustaining a low Days Sales Outstanding (DSO).
Key Responsibilities
- Engage directly with payors to resubmit denied or underpaid claims, and audit accounts to ensure accurate processing, payment, and coding.
- Analyze claim denials to execute necessary appeals for reimbursement.
- Oversee outstanding accounts receivable for designated payers or divisions.
- Resolve any outstanding balances efficiently.
- Conduct follow-ups on accounts receivable aged 31-60 days and 61-90 days, including researching aged account reports and processing problematic Explanation of Benefits (EOBs).
- Handle special projects related to accounts over 90 days, detailing issues and reporting them to management.
- Identify and rectify errors, communicating findings to management.
- Perform random audits to ensure system integrity, payer accuracy, and compliance with contractual reimbursement terms.
- Complete additional duties as assigned.
Required Skills and Competencies
- Proficient in Accounts Receivable processes, with the ability to analyze and interpret EOBs and related procedures.
- Familiarity with organizational policies, including compliance with HIPAA regulations.
- Knowledge of various insurance operating procedures, including Medicare, Medicaid, HMO/PPO/EPO, Workers' Compensation, and Commercial Insurance.
- Strong communication skills for effective interaction with insurance payers and colleagues.
- Detail-oriented with excellent organizational and problem-solving abilities.
- Able to thrive in a fast-paced work environment.
Qualifications
- High School Diploma or equivalent.
- A minimum of 2 years of experience in Healthcare Revenue Cycle Management.
- Strong analytical and decision-making skills.
- Familiarity with Federal, State, and third-party payer reimbursement regulations.
- Certification as a Coder is preferred but not mandatory.
-
Insurance Sales Associate
1 week ago
Park Ridge, Illinois, United States Farmers Insurance - District office 09 Full timeJob Overview:We are in search of a dedicated Insurance Sales Apprentice at Farmers Insurance, focused on community engagement and entrepreneurial spirit. This position offers a unique opportunity for aspiring agents to enhance their sales expertise and business acumen while working alongside a successful Farmers agent.If you are a self-motivated individual...
-
Insurance Sales Consultant
1 week ago
Park Ridge, Illinois, United States Farmers Insurance - District office 09 Full timeJob Overview:We are seeking motivated individuals for the role of Insurance Sales Apprentice at Farmers Insurance. This position is ideal for those who are entrepreneurial and community-focused, looking to build a career in the insurance industry. As part of our sales producer program, you will have the chance to enhance your skills and gain valuable...
-
Insurance Sales Consultant
2 weeks ago
Park Ridge, Illinois, United States Farmers Insurance - District office 09 Full timeJob Overview:We are in search of motivated Insurance Sales Apprentices at Farmers Insurance. This opportunity is ideal for individuals who are entrepreneurial and community-focused, seeking to build a career in the insurance sector. As part of our sales producer program, you will gain valuable skills and insights while working alongside a successful Farmers...
-
Commercial Insurance Client Manager
2 weeks ago
Orland Park, Illinois, United States Southpoint Insurance Agency Inc Full timeJob OverviewSouthpoint Insurance Agency Inc is seeking a dedicated professional to oversee our commercial insurance accounts. Our agency is committed to providing outstanding service and fostering strong relationships with our clients.What We OfferCompetitive Annual Salary with Bonus PotentialComprehensive Health CoverageDental and Vision InsuranceRetirement...
-
Commercial Insurance Account Executive
2 weeks ago
Orland Park, Illinois, United States Southpoint Insurance Agency Inc Full timeJob OverviewSouthpoint Insurance Agency Inc is seeking a dedicated professional to fill the role of Commercial Insurance Account Manager. Our agency is committed to delivering outstanding service and fostering strong client relationships. We pride ourselves on our supportive and collaborative work environment.Compensation and BenefitsCompetitive Base Salary...
-
Commercial Insurance Account Executive
2 weeks ago
Orland Park, Illinois, United States Southpoint Insurance Agency Inc Full timeJob OverviewSouthpoint Insurance Agency Inc is seeking a dedicated professional to enhance our commercial insurance services. We pride ourselves on delivering outstanding customer care and fostering strong partnerships with our clients.What We OfferCompetitive Base Salary with Performance BonusesComprehensive Health CoverageDental and Vision PlansRetirement...
-
Insurance Protection Specialist
4 days ago
Villa Park, Illinois, United States David Franck Insurance Agency Inc. Full timeJob SummaryWe are seeking a highly motivated and results-driven Insurance Protection Specialist to join our team at David Franck Insurance Agency Inc. As an Insurance Protection Specialist, you will be responsible for selling insurance policies to clients, providing them with the necessary information to make informed decisions about their insurance...
-
Senior Partnerships Manager
4 days ago
Park Ridge, Illinois, United States PCMI LLC Full timeJob Description**About PCMI LLC**PCMI LLC is a leading provider of integrated software solutions for Extended Warranty Management and Finance and Insurance (F&I) administration. Our company operates in a fast-paced, entrepreneurial environment, with a global presence and a collaborative team of experts.**Job Summary**We are seeking a highly skilled Senior...
-
Client Service Representative
3 days ago
Tinley Park, Illinois, United States Harrison Gray Search and Consulting LLC Full timeJob SummaryHarrison Gray Search and Consulting LLC is seeking a highly skilled Client Service Representative to join our team. As a key member of our insurance brokerage, you will play a vital role in delivering exceptional service and support to our clients.Key ResponsibilitiesClient Interaction: Serve as the primary point of contact for clients, responding...
-
Insurance Customer Service Representative
4 days ago
Loves Park, Illinois, United States Rej Sagun - Internal Account Full timeJob OverviewWe are a customer-focused company dedicated to providing exceptional service. Our team of professionals prioritizes client satisfaction and aims to build long-lasting relationships with every interaction.We are seeking a Licensed Insurance Customer Service representative to assist policyholders with their insurance inquiries, process claims, and...
-
Insurance Sales Professional
3 days ago
Tinley Park, Illinois, United States Ken Anderson - State Farm Full timeJob OpportunityJob Title: Licensed Insurance Sales RepresentativeJob SummaryWe are seeking a highly motivated and experienced Licensed Insurance Sales Representative to join our team at Ken Anderson - State Farm. As a key member of our sales team, you will be responsible for developing leads, scheduling appointments, and identifying customer needs to market...
-
Insurance Agent Support Specialist
2 weeks ago
Oak Park, Illinois, United States Latorya Street - State Farm Agent Full timePosition OverviewCompany: Latorya Street - State Farm AgentWe are seeking a motivated and personable professional to assist in building and nurturing customer relationships within the community. This role focuses on promoting a range of insurance products, including auto, home, and life insurance.Key ResponsibilitiesDevelop and maintain customer...
-
Insurance Agent Support Specialist
2 weeks ago
Oak Park, Illinois, United States Latorya Street - State Farm Agent Full timeJob OverviewPosition Summary:A dedicated Insurance Agent in the industry is seeking a proactive and career-focused individual to enhance their operations. As a key member of the agency, you will foster and cultivate customer relationships within the community to promote a range of insurance products, including automobile, homeowner, and life insurance.Key...
-
Insurance Agent Support Specialist
1 week ago
Oak Park, Illinois, United States Latorya Street - State Farm Agent Full timeJob OverviewPosition Summary:A State Farm Insurance Agent is in search of a proactive and career-focused individual to assist in enhancing customer engagement. As a member of the team for Latorya Street - State Farm Agent, you will foster and nurture customer relationships within the community to advocate for State Farm offerings, including auto, home, and...
-
Compensation and Payroll Analyst
1 week ago
Park Ridge, Illinois, United States Consolidated Human Resources, LLC Full timeJob OverviewConsolidated Human Resources, LLC is seeking a Payroll Operations Specialist to support the payroll processing and client service functions. If you have a commitment to client satisfaction and a keen eye for detail in payroll execution, this role offers an opportunity to contribute significantly.Benefits and Compensation for Payroll Operations...
-
Client Support Specialist
1 week ago
Villa Park, Illinois, United States A. KAMAL AGENCY, INC. DBA AMERICAN FAMILY INSURANCE Full timeJob OverviewThe Customer Service Representative is dedicated to delivering outstanding service to both prospective and current clients. This role involves recognizing opportunities for cross-selling and collaborating with sales professionals for follow-up actions. Additionally, the representative aids the agency owner in achieving service objectives.Key...
-
Client Support Specialist
2 weeks ago
Villa Park, Illinois, United States A. KAMAL AGENCY, INC. DBA AMERICAN FAMILY INSURANCE Full timeJob OverviewThe Customer Service Representative is dedicated to delivering outstanding service to both potential and current clients. This role involves recognizing opportunities for cross-selling and collaborating with sales professionals for effective follow-up. Additionally, the representative aids the agency owner in achieving service objectives.Key...
-
Client Relations Specialist
2 weeks ago
Villa Park, Illinois, United States A. KAMAL AGENCY, INC. DBA AMERICAN FAMILY INSURANCE Full timeJob OverviewBenefits:Performance-based bonusesAttractive salary packageCareer growth opportunitiesPaid leaveComprehensive training and development programsPosition SummaryThe Customer Service Representative is dedicated to delivering outstanding customer experiences for both prospective and current clients. This role involves recognizing opportunities for...
-
Customer Service Representative
4 days ago
Oak Park, Illinois, United States Colin Fane - State Farm Agent Full timeAbout the RoleWe are seeking a highly motivated and customer-focused individual to join our team as a Customer Service Representative. As a key member of our team, you will be responsible for delivering exceptional customer service, addressing inquiries, and assisting with insurance policies.Key ResponsibilitiesCustomer Support: Provide personalized service...
-
Oak Park, Illinois, United States Infinity Systems Full timeAbout the RoleWe are seeking a highly organized and detail-oriented individual to join our team as an Indoor Service Representative for our Specialized Plant Insurance Organization.Key ResponsibilitiesProvide administrative support to ensure seamless day-to-day operationsOrganize and coordinate events, fairs, and field days to promote our servicesDevelop and...