Insurance Representative II

Edward Elmhurst Health; Warrenville (IL); Hybrid; USD 29,000 - 43,000; Full time

Benefits offered by this job

Tuition Reimbursement

Free Parking at designated locations

Health Savings Account Options

Paid Time Off

Paid Time Off

Job summary

Endeavor Health is hiring an Insurance Representative II in Warrenville, IL to manage insurance claims and help resolve billing issues. You will optimize claim processes to maximize reimbursements and provide support to patients and providers.

The role requires an associate degree in Health Administration or Finance and 2 years of claims/billing experience, with full-time hours Monday–Friday in a hospital setting.

Qualifications

• Associates degree health administration or finance required.
• 2 years of experience in insurance claims/billing.

Responsibilities

• Review and process insurance claims for accuracy and compliance.
• Monitor pending claims and follow up to expedite reimbursement.
• Verify patient insurance coverage and eligibility for accurate submissions.
• Investigate denials and disputes with necessary documentation.
• Assist patients in understanding coverage, costs, and payment options.
• Maintain records of interactions, claims, and communications with HIPAA compliance.
• Maintain detailed records of interactions and claim status.
• Stay current with insurance regulations and HIPAA requirements.
• Generate reports on claim status, reimbursement rates, and resolution times.
• Capture patient feedback for process improvements.

Skills

Insurance claims management

Billing

HIPAA knowledge

Customer service

Education

Associates Degree Health Administration

Associates Degree Finance

Job description

## Insurance Representative IIApply: SRO Corporate Center Warrenville 4201 Winfield Road: Full time: Posted Today: R40171**Hourly Pay Range:**$21.10 - $30.60 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors.**Position Highlights:*** Position: Insurance Rep II* Location: Warrenville, IL* Full Time* Hours: Monday-Friday, [hours and flexible work schedules]**A Brief Overview:** The Insurance Representative II is a key member of the hospital's financial services team, responsible for managing insurance claims and resolving billing and payment issues. This position plays a critical role in ensuring the hospital's financial success by optimizing the insurance claim process, maximizing reimbursements, and providing top-notch support to patients and insurance providers. **What you will do:*** 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.**What you will need:*** **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.**Benefits:*** Career Pathways to Promote Professional Growth and Development* Various Medical, Dental, and Vision options* Tuition Reimbursement* Free Parking at designated locations* Wellness Program Savings Plan* Health Savings Account Options* Retirement Options with Company Match* Paid Time Off* Community Involvement OpportunitiesEndeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals – Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) – all recognized as Magnet hospitals for nursing excellence. For more information, visit www.endeavorhealth.org.