Insurance Specialist

TEKsystems•Waterloo, IA

2d•$17 - $19•Onsite

About The Position

This will be a project-based role with a start of a 90-day need, with the intent to extend through the end of the year if needed. Strong customer service skills and a keen attention to detail are important to have. This role will be a collections type role - communicating with insurance companies to collect payment and file claims. Most communication will be with claims adjusters from insurance companies. Most communication takes place through email with phone outreach if email communication doesn't resolve inquiries.

Requirements

High School diploma/GED
Strong customer service skills - phone and email (office experience required)
Strong attention to detail
Must have Microsoft Office Suite experience (Outlook, Excel, SharePoint) in an office setting

Nice To Haves

Knowledge of contract specific billing and paying procedures

Responsibilities

Review orders to ensure accuracy of codes, quantity, and pricing
Follow-up with insurance company to obtain payment from services rendered
Denial resolution may include requesting additional documentation from payer via phone/email/fax, resubmission, filling a corrected claim, using payer portals for claim research and claim processing functions, claim adjustment if there is no opportunity for resolution/payment
Prepare and submit documentation to increase likelihood of claims payment
Answer questions from providers, patients, and insurance companies
Knowledge of contract specific billing and paying procedures
Identifies and resolves collection issues
Performs necessary adjustments and refund requests
Print, organize, and mail hard copy claims
Claim follow up in accordance with department protocols
Continued efficiency in various software platforms such as Viper and Microsoft applications (Teams, Outlook, Word, Excel, etc.)