Insurance Specialist - Collections - Wisconsin ONLY

GetixHealth • Manitowoc, WI

2d

About The Position

Join our team as an Insurance Specialist!

Responsibilities:

Provides service via all available omni channels to serve as the liaison
between the business, clients, patients, and other parties, such as insurance
companies.
Offers education on the healthcare revenue cycle and troubleshoots accounts
through resolution by reviewing large balance accounts and other departmental
insurance discovery processes.
Engages in and enjoys active listening with callers, confirming or clarifying
information and diffusing conflict.
Makes appropriate changes or documentation in client healthcare systems and
internal technology platforms.
Submits claims to insurance providers on behalf of our clients for their
patients, following through to resolution.
Contributes to the development of workflows for incoming clients, developing
procedures and communicating expectations to the contact center.
Proactively shares information about healthcare revenue cycle services to
support the growth of the business’s client and/or account base.
Follows department processes and procedures in compliance with industry laws
and regulations.
Manages inventory to ensure metrics are being met to patient’s accounts are
not being sent to collections prior to resolution.
Reviews and escalates complex accounts requiring additional review.
Meets the key performance indicators and expectations established for the
position.
Performs all duties above with the highest integrity and confidentiality.
Completes assigned training and learning plans, including those that fulfill
industry compliance requirements.
All other duties as assigned.

Requirements

• 1+ year(s) of experience in a customer service capacity required, preferably in a contact center environment
• 1+ year(s) of experience multi-tasking in a fast- paced environment required
• 1+ year(s) of experience with medical insurance, coding, or billing in a professional environment
• High School Diploma / GED

Nice To Haves

• Two Years of College or Associate's Degree

Responsibilities

• Provides service via all available omni channels to serve as the liaison between the business, clients, patients, and other parties, such as insurance companies.
• Offers education on the healthcare revenue cycle and troubleshoots accounts through resolution by reviewing large balance accounts and other departmental insurance discovery processes.
• Engages in and enjoys active listening with callers, confirming or clarifying information and diffusing conflict.
• Makes appropriate changes or documentation in client healthcare systems and internal technology platforms.
• Submits claims to insurance providers on behalf of our clients for their patients, following through to resolution.
• Contributes to the development of workflows for incoming clients, developing procedures and communicating expectations to the contact center.
• Proactively shares information about healthcare revenue cycle services to support the growth of the business’s client and/or account base.
• Follows department processes and procedures in compliance with industry laws and regulations.
• Manages inventory to ensure metrics are being met to patient’s accounts are not being sent to collections prior to resolution.
• Reviews and escalates complex accounts requiring additional review.
• Meets the key performance indicators and expectations established for the position.
• Performs all duties above with the highest integrity and confidentiality.
• Completes assigned training and learning plans, including those that fulfill industry compliance requirements.
• All other duties as assigned.

Benefits

• Comprehensive Health Coverage: Enjoy medical, dental, and vision plans available starting after 60 days of full-time employment.
• Life & Disability Insurance: Benefit from basic life/AD&D, short-term, and long-term disability coverage, with optional voluntary life/AD&D plans.
• 401(k) Plan: Eligible to participate in the company’s 401(k) plan after three (3) months of continuous service.
• Paid Time Off (PTO): Start accruing PTO from your very first day of employment.
• Flexible Benefits: Customize your benefits package to fit your personal and family needs.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED