Insurance Receivables Specialist
2 months ago
We seek a detail-oriented and motivated Insurance Receivables Specialist to join our team
Responsibilities:
- Manage and process denied claims.
- Maintain effective communication with insurance companies and clients.
- Investigate and resolve issues related to insurance payments.
- Prepare and analyze reports related to receivables and authorization status.
- Provide quality customer service to clients and insurance representatives, addressing inquiries and resolving issues as needed.
- Follow up on outstanding claims, resolve denials or rejections, and work to obtain prompt payment.
- Obtain and manage Medicaid authorizations for services and 90-day treatment plans.
- Ensure all documentation is complete and accurate.
- Collect copays, coinsurance, and balances due.
- Obtain and manage EAP (Employee Assistance Program) authorizations and billing.
- Welcome clients and visitors in a professional and friendly manner.
- Comply with insurance standards and regulations.
Qualifications:
- Previous experience in insurance receivables, claims processing, authorization management, and customer service.
- Proven experience in Medicaid health care programs.
- Ability to build rapport with clients
- Strong negotiation skills
- Excellent written and verbal communication skills
- Ability to prioritize and multitask
- High School Diploma
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