Responsibilities
- Process insurance claims accurately and efficiently.
- Conduct insurance calls to verify eligibility and benefits for clients.
- Resolve instances of claim denial and address any related issues.
- Handle inbound calls and communicate with insurance companies as required.
- Conduct reviews and audits to ensure accuracy and compliance.
- Provide positive, warm, and friendly service in all interactions.
- Understand and prioritize urgent/high-priority tasks.
- Assist in other areas of the department as needed.
Qualifications
- Familiarity with negotiation techniques and handling sensitive financial matters is preferred.
- Clear and coherent in both verbal and written communication skills to effectively communicate with clients, insurance companies, and team members.
- Ability to navigate Excel spreadsheets, including proficiency in using formulas such as SUM, AVERAGE, and COUNT for calculations, as well as utilizing pivot tables for data analysis, sorting, and filtering.
- Ability to prioritize and manage multiple tasks effectively while maintaining accuracy and attention to detail.
- Can work independently as well as collaboratively within a team environment demonstrating initiative, reliability, and a positive attitude towards achieving team goals.
- Willingness to learn and adapt to new processes and technologies.
- Openness to receiving feedback and implementing changes to improve performance and efficiency.
- Meticulous attention to detail in handling sensitive medical documents and processing insurance claims accurately.
- Proficient typing skills with a minimum typing speed of 35 words per minute (wpm) to ensure timely and efficient data entry.
Screening Criteria
- At least one (1) to two (2) years of experience in handling collection calls, whether in a medical or non-medical context.
- At least one (1) to two (2) years of experience in medical billing.
- Must have stable employment history
