Coordinates and administers group insurance customer billing in compliance with all legal regulations, industry standards, and operational guidelines. Documents and inputs claims and payment records, verifies payment types, and reconciles customer accounts. Prepares and distributes applicable documentation and resources for customers. Monitors group accounts for lapses and supports the reinstatement process to verify insurability and risk level, calculate overdue balances and interest, and ensure additional reinstatement requirements are met. Collects, analyzes, and reports financial information to policyholders, customers, or management. Requires a high school diploma. Typically reports to a supervisor. Works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. Typically requires 1-3 years of related experience.
The Insurance Placement Specialist II assesses and negotiates quotes from different carriers based on exposure, risk, and financing. Develops and markets customer business to different insurance carriers to obtain quotes based on an evaluation and analysis of the customer's insurance needs and requirements. Being an Insurance Placement Specialist II requires knowledge of complex insurance products and a variety of lines such as commercial property & casualty, employee benefits, and others. Develops recommendations to advise customers on the best options that will meet their needs and to place and retain the business. In addition, Insurance Placement Specialist II requires a bachelor's degree. Requires insurance licensing. May also require professional credentials such as CPCU (Chartered Property Casualty Underwriter), CIC (Certified Insurance Counselor), or ARM (Associate in Risk Management). Typically reports to a supervisor or manager. Being an Insurance Placement Specialist II work is generally independent and collaborative in nature. Contributes to moderately complex aspects of a project. Working as an Insurance Placement Specialist II typically requires 4 -7 years of related experience.
The Insurance Verification Specialist II gathers pertinent information from patients, insurance carriers, financial counselors, and other staff to confirm the patient's financial obligations for services. Processes insurance pre-verification for hospital admissions or specialty service office visits. Being an Insurance Verification Specialist II verifies insurance coverage and obtains required authorizations when necessary. Acts as a liaison between hospitals, clinical staff, health plans, providers, and patients to process referrals. In addition, Insurance Verification Specialist II documents referrals, communications, actions, and other data in an information management system. Generates and distributes all applicable forms, notifications, and paperwork. Researches and resolves pre-certification, registration, and case-related issues. Requires a high school diploma. Typically reports to a supervisor. Being an Insurance Verification Specialist II works independently within established procedures associated with the specific job function. Has gained proficiency in multiple competencies relevant to the job. Working as an Insurance Verification Specialist II typically requires 3-5 years of related experience.
The Insurance Billing and Coding Specialist II documents and inputs claims and payment records, verifies payment types, and reconciles customer accounts. Coordinates and administers group insurance customer billing in compliance with all legal regulations, industry standards, and operational guidelines. Being an Insurance Billing and Coding Specialist II monitors group accounts for lapses and supports the reinstatement process to verify insurability and risk level, calculate overdue balances and interest, and ensure additional reinstatement requirements are met. Prepares and distributes applicable documentation and resources for customers. In addition, Insurance Billing and Coding Specialist II collects, analyzes, and reports financial information to policyholders, customers, or management. Requires a high school diploma. Typically reports to a supervisor. Being an Insurance Billing and Coding Specialist II works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. Working as an Insurance Billing and Coding Specialist II typically requires 1-3 years of related experience.
Develops and markets customer business to different insurance carriers to obtain quotes based on an evaluation and analysis of the customer's insurance needs and requirements. Assesses and negotiates quotes from different carriers based on exposure, risk, and financing. Develops recommendations to advise customers on the best options that will meet their needs and to place and retain the business. Requires knowledge of complex insurance products and a variety of lines such as commercial property & casualty, employee benefits, and others. Requires a bachelor's degree. Requires insurance licensing. May also require professional credentials such as CPCU (Chartered Property Casualty Underwriter), CIC (Certified Insurance Counselor), or ARM (Associate in Risk Management). Typically reports to a supervisor or manager. Work is generally independent and collaborative in nature. Contributes to moderately complex aspects of a project. Typically requires 4 -7 years of related experience.