Insurance Specialist

Remote: Although this position is listed as remote, the training period requires you working onsite 5 days/week for 3 months at our Middleburg Heights, Ohio facility before transitioning to remote. Due to business requirements, only applicants residing in Ohio will be considered.

• →Follow up on claim status via insurance portals or calls to payers to determine adjudication and details.
• →Call payers and patients as needed to resolve claim rejections, challenge processing decisions, and verify insurance coverage.
• →Verify patient insurance eligibility and coordination of benefits.
• →Review and analyze payer correspondence.
• →Investigate electronic claim rejections.
• →Submit claims for processing corrections, to secondary insurances, or to updated addresses.
• →Research requests for insurance payment retractions.
• →Monitor and notify management of payer trends and/or claim processing issues.
• →Meet or exceed productivity and quality KPI goals.
• →Perform other duties as assigned.

• High School diploma or GED
• Previous health insurance billing experience
• Working knowledge of medical terminology
• Strong problem-solving skills and the ability to adapt to changes in policies, regulations, and procedures
• Excellent written and verbal communication skills
• High attention to detail
• Ability to interact effectively with others
• Ability to maintain confidentiality
• Proficient computer skills with knowledge of Microsoft Word and Excel

Salary Range: $19-$22 per hour