Insurance Specialist – Eastern, Central Time Zones

This is a fully remote position, open to applicants in Minnesota.

📋 Description

• Manage claims inventory to minimize outstanding accounts receivable.

• Engage professionally with patients and insurance companies concerning their outstanding balances.

• Collect information from patients, clients or family members, clinical areas, government agencies, employers, third-party payors, and medical payment programs, both in-person and via telephone to register patients, update information, obtain referrals and pre-authorizations, complete necessary forms, conduct evaluations, determine benefits and eligibility (insurance, public programs, etc.), assess financial responsibility, and identify payment sources for services.

• Request, input, verify, and adjust patient demographic, primary care provider, and payor information.

• Deliver exceptional customer service and respond promptly to inquiries related to benefits, billing, claims, payments, and more.

• Address inquiries via phone and provide service quotes; identify financial resources in alignment with client policies and procedures.

• Utilize various databases and specialized software for revenue cycle tasks, including eligibility verifications, pre-authorizations, medical necessity assessments, and updating patient accounts.

• Clarify charges, respond to questions, and communicate a wide range of policies, procedures, and requirements related to patient financial services and resources to patients, staff, payors, and agencies.

• Collaborate with Claims and Collections to assist patients and their families with billing and payment processes.

⛳️ Requirements

• High School Diploma or GED.

• Minimum of 2 years of experience in Denials Management.

• At least 2 years of experience in Medical Billing and Follow-up.

• Experience with Medicare, Medicaid, and commercial payors.

• Proficient in PC-based applications (Microsoft Outlook, Word, and Excel).

• Required download speed of 30MB or higher and upload speed of 10MB or higher.

• Must have access to a secure and private workspace where no one can hear or see you, as you may handle protected health information.

• Employment eligibility: Candidates must be legally authorized to work in the United States at the time of hire.

• Please note that the company does not offer employment visa sponsorship for this position.

🏝️ Benefits

• Comprehensive paid training.

• Medical, dental, and vision insurance.

• HSA and FSA options available.

• 401(k) plan with company match.

• Paid Wellness Time and Holidays.

• Employer-sponsored life insurance and long-term disability coverage.

• Opportunities for internal career growth.