Insurance Specialist

Insurance Specialist

Remote: Although this position is listed as remote, the training period requires you working onsite 5 days/week for 3 months at our Middleburg Heights, Ohio facility before transitioning to remote. Due to business requirements, only applicants residing in Ohio will be considered.

Key Responsibilities

• Follow up on claim status via insurance portals or calls to payers to determine adjudication and details.
• Call payers and patients as needed to resolve claim rejections, challenge processing decisions, and verify insurance coverage.
• Verify patient insurance eligibility and coordination of benefits.
• Review and analyze payer correspondence.
• Investigate electronic claim rejections.
• Submit claims for processing corrections, to secondary insurances, or to updated addresses.
• Research requests for insurance payment retractions.
• Monitor and notify management of payer trends and/or claim processing issues.
• Meet or exceed productivity and quality KPI goals.
• Perform other duties as assigned.

Education/Experience:

• High School diploma or GED

• Previous health insurance billing experience

• Working knowledge of medical terminology

• Strong problem-solving skills and the ability to adapt to changes in policies, regulations, and procedures

• Excellent written and verbal communication skills

• High attention to detail

• Ability to interact effectively with others

• Ability to maintain confidentiality

• Proficient computer skills with knowledge of Microsoft Word and Excel

• Salary Range: $19-$22 per hour

Qualifications

Skills

• Behaviors

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• Motivations

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Education

Experience

• Licenses & Certifications

• Equal Opportunity Employer

• This employer is required to notify all applicants of their rights pursuant to federal employment laws.

• For further information, please review the Know Your Rights notice from the Department of Labor.

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