Insurance Claims & AR Specialist

EverStaff, LLC; Middleburg Heights (OH); On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

On-site position

Job summary

EverStaff, LLC in Middleburg Heights, OH, is seeking an Insurance Representative to follow up on outstanding claims, resolve insurance and patient balance issues, and ensure accurate reimbursement through research and effective communication.

The position is on-site with a direct hire. Schedule options are Monday–Friday 8am–5pm or 9am–6pm. Required are a high school diploma and experience communicating with insurance companies by phone, plus proficiency in Word and Excel.

Qualifications

• High School diploma or GED required.
• Experience communicating with insurance companies by phone.
• Knowledge of third‑party billing rules and regulations.
• Working knowledge of medical terminology and basic coding concepts.
• Ability to maintain confidentiality at all times.
• Proficient in Microsoft Word and Excel.

Responsibilities

• Follow up on outstanding accounts receivable balances.
• Communicate with insurance payers and patients about claim rejections and unpaid balances.
• Respond to payer correspondence promptly and professionally.
• Draft appeals for denied claims.
• Research insurance payment retractions and determine actions.
• Investigate overpayments and coordinate with Treasury for resolution.
• Monitor payer behavior and report trends to management.
• Review and resolve electronic claim rejections.
• Research claim information using payer portals.
• Perform other duties as assigned.

Skills

Communication skills

Problem solving

Attention to detail

Organizational skills

Time management

Interpersonal skills

Education

High School diploma or GED

Tools

Microsoft Word

Microsoft Excel

Job description

EverStaff, LLC in Middleburg Heights, OH, is seeking an Insurance Representative to follow up on outstanding claims, resolve insurance and patient balance issues, and ensure accurate reimbursement through research and effective communication.

The position is on-site with a direct hire. Schedule options are Monday–Friday 8am–5pm or 9am–6pm. Required are a high school diploma and experience communicating with insurance companies by phone, plus proficiency in Word and Excel.