Insurance Specialist
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Job Description
Insurance Specialist responsible for resolving outstanding insurance balances on patient accounts. Ensure cash recovery goals are met while managing insurance receivables for healthcare clients.
Responsibilities:
- Review and resolution of outstanding insurance balances on hospital or physician patient accounts
- Manage assigned insurance receivables to achieve business line expectations
- Meet productivity standards as outlined by business line
- Achieve a minimum of 85% work quality scoring and accuracy on all accounts worked
- Complete timely follow-up on assigned accounts to ensure no cash loss
- Ensure insurance accounts are resolved within 90 days of placement
- Perform account research and route accounts through appropriate client workflows
- Clearly document actions taken and next steps for account resolution in patient accounting system
- Clearly prepare appeals for payment to insurance company when appropriate
Requirements:
- 1 year of experience in a health care receivables environment
- High School Diploma
- Excellent oral and written communication skills
- Basic computer skills
- Familiarity with widely used patient accounting software
- Data management skills
- Attention to detail and accuracy
- Good problem-solving skills
- Ability to communicate successfully with patients, hospitals, and insurance companies
- Able to work individually and as part of a team
- Possess ability to concentrate for long periods of time
- Proficient in numeracy skills and above-average knowledge of administrative procedures
Benefits:
- Professional development
- Training in industry career development
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