Medical Insurance Specialist

Job Summary:

The Medical Insurance Specialist teams perform several types of work and coordinates information between the patients, insurance companies and our clients. Job functions include patient pre-registration, pre-adjudication, post adjudication and cash postings. This person will be expected to display strong customer service and communication skills to properly assist providers and patients with resolving medical claims.

Responsibilities:

• Follow up with insurance companies to investigate the claim processing specifics, including denials.
• Appeal the insurance’s processing decision (verbally or written) to request a reconsideration.
• Review benefits with patients and obtain necessary authorizations.
• Review claims and correct any errors.
• Provides quality and timely experiences through all interactions, ensuring professional and accurate resolution-both verbally and in writing.
• Completes payment entry in a timely and accurate manner.
• Multitasks between a variety of technology, systems, tools, and resources to support departmental workflows.

Qualifications:

• Experience preferred but not necessary
• H.S. Diploma/GED
• Must be able to complete and clear background check
• Must be able to work a schedule Monday-Friday 8:00am-5:00pm
• Strong Organizational skills
• Strong problem-solving skills
• Strong written and oral communication skills
• Time management and sound decision-making skills

Benefits:

• Full comprehensive paid training program
• Ability to earn meaningful performance incentives on a Quarterly basis
• Career advancement opportunities
• Health, Dental, Vision, Disability, and Life Insurance
• Paid time off and Holiday Pay
• 401(k) plan with company match

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