Insurance Specialist

2 days ago

Chapel Hill, NC, United States Eclaro Full time
Insurance Specialist
Job Number: 25-05708

Be at the forefront of innovation. ECLARO is looking for an Insurance Specialist for our client in Chapel Hill, NC.

ECLARO's client is notable public research university. If you're up to the challenge, then take a chance at this rewarding opportunity

Position Overview:
  • This Insurance Specialist position offers both dental and medical insurance services for the Client.
  • The Insurance Specialist works in all areas of billing and reimbursement, including private dental insurance companies and managed care organizations.
  • This role requires specialized knowledge of insurance industry standards related to billing and reimbursement, along with a strong understanding of accounts receivable.
  • This position collaborates closely with private insurance carriers, particularly those contracted with the clinics.
  • It also requires a comprehensive understanding of dental and medical terminology, dental procedural and diagnostic coding, medical-dental cross-coding, electronic claims processing, and the policies and contracts of multiple insurance vendors.
  • This position will require extensive communication with various insurance companies, along with effective use of insurance portals.
  • Compliance with HIPAA regulations is mandatory.

Responsibilities:
  • The responsibilities of this role include filing dental insurance claims and pre-treatment estimates for privately insured patients; obtaining and providing the clinical documentation necessary for claims processing, such as x-rays, chart notes, and letters of necessity;
  • Investigating denied claims, following up on those investigations, and submitting appeals for those denied claims;
  • Verifying essential documentation including insurance cards, insurance explanations of payment, provider narratives, and insurance consent;
  • Regularly auditing patient records for accuracy and completeness of billing, coding, and clinical documentation.
  • Other duties as assigned.

Skills:
  • Effective communication and deductive reasoning are essential skills.

Pay Rate: $22 / Hour

If hired, you will enjoy the following ECLARO Benefits:
  • 401k Retirement Savings Plan administered by Merrill Lynch
  • Commuter Check Pretax Commuter Benefits
  • Eligibility to purchase Medical, Dental & Vision Insurance through ECLARO

If interested, you may contact:
Melissa Francisco
Melissa.Francisco@eclaro.com
646-849-5125
Melissa Francisco | LinkedIn

Equal Opportunity Employer: ECLARO values diversity and does not discriminate based on Race, Color, Religion, Sex, Sexual Orientation, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status, in compliance with all applicable laws.

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