Insurance Billing Operations Specialist

360care•Louisville, KY

About The Position

This role is essential for maintaining accurate records, ensuring clients are billed correctly, managing billing processes, resolving discrepancies and maintaining effective communication with internal teams.

Requirements

Associate’s degree or 2-5 years of related experience in insurance administration or a similar field
Proficiency in Microsoft Office Suite and adept at learning insurance software/systems
Excellent oral, interpersonal and written communication skills
Exceptional attention to detail
Strong analytical, problem-solving skills
Flexibility and the ability to multi-task
Ability to work independently, with management and/or with other Team Members
Excellent interpersonal skills.
Must be detail oriented and self-motivated.
Excellent customer service skills.
Anticipate needs in a proactive manner to increase satisfaction.

Responsibilities

Review and release bills from third-party vendor.
Data Assurance and assist with loading data regarding policy/plan updates in our billing system.
Ensure the Integrity of Billing Data.
Process coverage or enrollment corrections.
Discrepancy Resolution by researching and resolve billing issues
Act as a Subject Matter Expert to provide guidance and support to colleagues on processing and system functionalities.
Assist with special projects.
Deliver on all key performance metrics.
Other supporting duties as assigned which are reasonably within the scope of the duties in this job classification.
Maintain confidentiality of all information and abide with HIPAA and PHI guidelines at all times.
Actively supports and complies with all components of the compliance program, including, but not limited to, completion of training and reporting of suspected violations of law and Company policy.
Maintains confidentiality of all information; abides with HIPAA and PHI guidelines at all times.
Reacts positively to change and performs other duties as assigned.
Take ownership of job responsibilities by initiating prompt and appropriate follow up and/or action to problems.