Insurance and Complex Claims Specialist

Professional Credit Service•Springfield, MI

23h•Remote

About The Position

Remote: Onsite Springfield, Oregon or WFH Phoenix, AZ area Do you have experience in insurance, denials, and collections, and have a passion for delivering exceptional customer service while helping individuals through challenging situations? If so, we’re looking for someone like you! Join the Industry Leader Professional, the nation’s top provider of accounts receivable management services, is hiring Insurance and Complex Claims Specialist ! The Insurance and Complex Claims Specialist will focus on outlier collection accounts. Instances where the healthcare balance stems from Motor Vehicle, Personal Injury or denied insurance claims. Candidate will dig deep into the details to identify other sources of recovery and will work with third party payers, attorneys and other sources to resolve the collection accounts. Why Choose Professional? At Professional, we believe every interaction matters. That’s why we prioritize building positive, productive relationships with consumers. With cutting-edge omni-channel communication tools, you'll connect with customers via text, live chat, email, and phone—delivering top-notch service at every touchpoint. If you’re enthusiastic about creating positive experiences and being part of a forward-thinking team, we want to hear from you! Job Details: Position is Full-Time, 40 hours per week, working Monday – Friday, 8 am – 5 pm PST Location: Work from Home (onsite Springfield, Oregon, or Phoenix, AZ area)

Requirements

Minimum of 1 year 1 st or 3 rd party collection experience
Insurance Denial appeals and rebilling process experience.
Dedicated, private room in your home that is quiet during work hours.
Internet connection of 50 MB or more, which is hard-wired (Ethernet connected) from the modem to your company PC.
Your desktop work surface must have room for 2 PC monitors. Professional will provide all computer equipment.
You will be required to sign and acknowledge these work-from-home requirements.
Must have a personal cell phone to install a security application.
Must be present in virtual work environment via company provided webcam during all working hours.
Must be meeting minimum performance levels and KPI’s.
Good decision-making skills are required.
General computer skills are required with the ability to navigate multiple screens and type 25 words per minute

Nice To Haves

Epic, Cerner, Meditech EMR experience, a plus.

Responsibilities

take inbound and outbound collection calls with utmost professionalism and courtesy
Negotiate payment agreements, resolve customer concerns and help consumers get out of debt
Motor Vehicle Accident insurance claims (Specifically, third party lien process by state)
Personal Injury liability billing practices
Veterans Administration, TriCare billing practices
Crime Victim processing and claims process
General Worker’s Compensation process

Benefits

Growth potential, both personally and professionally.
Comprehensive training to set you up for success.
A supportive, dynamic team environment.
The chance to make a meaningful impact by helping people navigate tough times.
Great benefits (health, dental & vision Insurance) with the Employee only cost share is $201.44 per month and eligible the 1 st of the month following 60 days.
We offer a traditional 401k/Roth Plan with discretionary matching.
Paid Time-Off accruing up to 80 hours per year as of day 1 for the first 2 years (based on hours worked) along with 7 paid Holidays (after 60 days of employment)
Paid Volunteer and Community Outreach Program that allows you to ‘ help others ’ in the community

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