Insurance Claims Specialist II | Flexible Hours

2000 Edward Elmhurst Healthcare; Warrenville (IL); On-site; USD 29,000 - 42,000; Full time

Benefits offered by this job

Free Parking at designated locations

Tuition Reimbursement

Wellness Program

Health Savings Account Options

Retirement Options with Company Match

Paid Time Off

Community Involvement Opportunities

Medical, Dental, and Vision options

Savings Plan

Job summary

Endeavor Health’s Insurance Rep II in Warrenville, IL handles reviewing and processing insurance claims, ensuring accuracy and compliance. You will monitor claim status, follow up on denials, verify coverage, and communicate with patients and insurers to optimize reimbursements.

The role requires 2 years of claims management experience in healthcare and an associate degree in health administration or finance. Full-time with standard weekday hours.

Qualifications

• Education: Associates Degree Health Administration Required Or Associates Degree Finance Required.
• Experience: 2 Years of experience in insurance claims management and billing, preferably in a healthcare or hospital setting.

Responsibilities

• Review and process insurance claims for accuracy, completeness, and compliance with relevant insurance policies and healthcare regulations.
• Monitor and follow up on pending insurance claims, including appeals and resubmissions, to expedite reimbursement and minimize claim denials.
• Verify patient insurance coverage, including policy details, eligibility, and benefit information, to ensure accurate claim submissions.
• Investigate and resolve claim denials and disputes, providing necessary documentation and communication with insurance companies for claim approval.
• Assist patients in understanding their insurance claims, explaining coverage and reimbursement processes, and addressing any questions or concerns.
• Provide support to patients in understanding and managing their healthcare expenses, including explaining payment options, financial assistance programs, and payment plans.
• Maintain accurate and detailed records of all interactions, claim processing, and patient communications, ensuring compliance with hospital standards and regulatory requirements.
• Stay updated on changes in insurance regulations, ensuring that claim processes align with legal and compliance standards, including HIPAA.
• Generate reports and maintain metrics related to insurance claim status, reimbursement rates, and resolution times.
• Gather and document patient feedback and suggestions, reporting relevant trends or issues to the appropriate department for process improvement.

Skills

Insurance claims knowledge

Education

Associates Degree Health Administration or Finance

Job description

Endeavor Health’s Insurance Rep II in Warrenville, IL handles reviewing and processing insurance claims, ensuring accuracy and compliance. You will monitor claim status, follow up on denials, verify coverage, and communicate with patients and insurers to optimize reimbursements.

The role requires 2 years of claims management experience in healthcare and an associate degree in health administration or finance. Full-time with standard weekday hours.