Staffing Solutions Enterprises
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.
#SSEIND #LI-CF1
By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Staffing Solutions Enterprises, StaffMatrix, BV Staffing, and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy at https://www.staffingsolutionsenterprises.com/privacy-policy/
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.
#SSEIND #LI-CF1
By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Staffing Solutions Enterprises, StaffMatrix, BV Staffing, and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy at https://www.staffingsolutionsenterprises.com/privacy-policy/