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Staffing Solutions Enterprises

Insurance Specialist

Staffing Solutions Enterprises, Cleveland

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We are seeking an Insurance Specialist to provide extensive support services covering all aspects of claims management including review, initiation, completion, submission, and direct follow-up to the appropriate third-party payers.
Location: Middleburg Hts., Ohio onsite
Pay: $18-19.50 per hour based on experience
Shift : First
Direct Hire Permanent Opportunity
Job Responsibilities

  • Follow-up with and resolve outstanding accounts receivable balances.
  • Call payers and patients as needed to resolve claim rejections.
  • Respond to payer correspondence.
  • Draft appeals for denied claims.
  • Research requests for insurance payment retractions.
  • Research overpayments and communicate to Treasury for resolution.
  • Monitor and notify management of payer trends and/or claim processing issues.
  • Investigate electronic claim rejections.
  • Research claim information through web portals.
  • Other duties as assigned.
Requirements
  • High School diploma or GED
  • Previous experience working with insurance companies over the phone.
  • Knowledge of third-party billing rules and regulations.
  • Ability to maintain confidentiality.
  • Working knowledge of coding and medical terminology.
  • Excellent written and verbal communication skills.
  • Strong problem-solving skills and the ability to adapt to changes in policies, regulations, and procedures.
  • High attention to detail.
  • Ability to interact effectively with others.
  • Ability to consistently meet production and quality goals.
  • Proficient computer skills with knowledge of Microsoft Word and Excel.
  • We are looking for someone who can handle stress in a fast-paced environments with multiple priorities and deadlines while adapting to a changing atmosphere. The employee will be expected to make judgement decisions, grasp new ideas, and communicate with various payers, patients, employees, and clients at all levels.
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Seniority level
  • Seniority level
    Entry level
Employment type
  • Employment type
    Full-time
Job function
  • Job function
    Other
  • Industries
    Staffing and Recruiting

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