Insurance Specialist

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 for 1 month for training, then 100% remotePay: $18-20.00 per hour - based on experienceShiftFirstDirect Hire Permanent OpportunityJob 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 GEDPrevious 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.

Created: 2025-03-03