Insurance Specialist

TEKsystems•Waterloo, IA

19d•$17 - $19•Onsite

About The Position

This will be a project-based role with the need still to be determined but most likely through the end of the year. It will start as a 90-day need with the intent to extend through the end of the year if needed. This role requires individuals who are willing and able to work in an office setting and effectively work on a computer daily (at a desk and on a computer for 8 hours a day). Strong customer service skills and a keen attention to detail are important. 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. This role performs follow-up to assure Homelink is being paid for the services offered.

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

Accounts Receivable experience
Basic medical coding/billing experience
Knowledge of healthcare industry billing/coding terminology
Bookkeeping, analytical and problem solving skills

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.)