Insurance Claim Resolution Specialist

4 days ago


Springfield, Illinois, United States CoxHealth Full time

CoxHealth seeks an experienced professional to join our team as an Insurance Claim Resolution Specialist. This role is perfect for individuals who thrive in dynamic environments and are passionate about delivering exceptional patient care.

About Us

CoxHealth is a leading healthcare system dedicated to providing top-notch medical services to our community. Our mission is to improve the health and well-being of those we serve, and we're looking for talented individuals like you to help us achieve this goal.

Job Summary

This position is responsible for resolving insurance claims related to Medicaid and Managed Care. As an Insurance Claim Resolution Specialist, you will work closely with our team to review, resolve, and determine the cause of any credit balance. Your attention to detail and analytical skills will be essential in ensuring accurate refunds, transfers, or adjustments are made in a timely manner.

Responsibilities
  • Resolve insurance claims related to Medicaid and Managed Care
  • Review and analyze claim data to identify areas for improvement
  • Determine the cause of credit balances and implement corrective actions
  • Ensure accurate and timely refunds, transfers, or adjustments
Requirements

To be successful in this role, you will need:

  • Bachelor's degree in a related field (e.g., healthcare administration, business)
  • Minimum 3 years of experience in insurance claims resolution or a related field
  • Excellent analytical and problem-solving skills
  • Strong communication and interpersonal skills
  • Ability to work in a fast-paced environment and meet deadlines
What We Offer

We offer a competitive salary and benefits package, including:

  • Estimated annual salary: $65,000 - $85,000
  • Comprehensive health insurance
  • Retirement plan matching
  • Professional development opportunities

Please note that these estimates may vary based on location and other factors. We're committed to providing a fair and transparent compensation package to our employees.



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