Remote Insurance Specialist (Collections)

GetixHealth; Manitowoc (WI); Sur place; USD 42 000 - 66 000; Plein temps

Avantages offerts par ce poste

Comprehensive Health Coverage (medical

Life & Disability Insurance

401(k) Plan

Paid Time Off (PTO)

Flexible Benefits

Résumé du poste

GetixHealth, LLC is hiring an Insurance Specialist in Manitowoc, WI. The role focuses on servicing via omni channels, educating on the healthcare revenue cycle, and handling insurance claims with accuracy and confidentiality.

The position requires at least 1 year in customer service, multitasking in a fast-paced setting, and experience with medical insurance or billing. Strong communication and conflict-resolution skills are essential. Eligible for health benefits and 401(k).

Qualifications

• 1+ year of experience in a customer service capacity
• 1+ year of experience multi-tasking in a fast-paced environment
• 1+ year of experience with medical insurance, coding, or billing in a professional environment
• High School Diploma or GED required; two years of college preferred

Responsabilités

• Provides service via omni channels to serve as liaison between business, clients, patients, and insurance companies
• Educates on healthcare revenue cycle and troubleshoots accounts through resolution
• Reviews information with callers and diffuses conflict
• Makes changes in client healthcare systems and internal platforms
• Submits insurance claims on behalf of clients and follows through to resolution
• Develops workflows for incoming clients and communicates expectations to the contact center
• Shares information about healthcare revenue cycle services to support client growth
• Follows department processes in compliance with industry laws and regulations
• Manages inventory to ensure metrics and prevent accounts from being sent to collections
• Reviews complex accounts and escalates for further review
• Meets KPIs and maintains confidentiality; completes required training
• All other duties as assigned

Connaissances

Customer service

Communication

Multi-tasking

Healthcare insurance knowledge

Conflict resolution

Formation

High School Diploma / GED

Two Years of College or Associate's Degree

Description du poste

Join our team as an Insurance Specialist!

Responsibilities

• Provides service via all available omni channels to serve as the liaison between the business, clients, patients, and other parties, such as insurance companies.
• Offers education on the healthcare revenue cycle and troubleshoots accounts through resolution by reviewing large balance accounts and other departmental insurance discovery processes.
• Engages in and enjoys active listening with callers, confirming or clarifying information and diffusing conflict.
• Makes appropriate changes or documentation in client healthcare systems and internal technology platforms.
• Submits claims to insurance providers on behalf of our clients for their patients, following through to resolution.
• Contributes to the development of workflows for incoming clients, developing procedures and communicating expectations to the contact center.
• Proactively shares information about healthcare revenue cycle services to support the growth of the business’s client and/or account base.
• Follows department processes and procedures in compliance with industry laws and regulations.
• Manages inventory to ensure metrics are being met to patient’s accounts are not being sent to collections prior to resolution.
• Reviews and escalates complex accounts requiring additional review.
• Meets the key performance indicators and expectations established for the position.
• Performs all duties above with the highest integrity and confidentiality.
• Completes assigned training and learning plans, including those that fulfill industry compliance requirements.
• All other duties as assigned.

Education & Experience

Required Education: High School Diploma / GED

Preferred Education: Two Years of College or Associate's Degree

Experience

• 1+ year(s) of experience in a customer service capacity required, preferably in a contact center environment
• 1+ year(s) of experience multi-tasking in a fast- paced environment required
• 1+ year(s) of experience with medical insurance, coding, or billing in a professional environment

Benefits & Incentives

• Comprehensive Health Coverage: Enjoy medical, dental, and vision plans available starting after 60 days of full-time employment.
• Life & Disability Insurance: Benefit from basic life/AD&D, short-term, and long-term disability coverage, with optional voluntary life/AD&D plans.
• 401(k) Plan: Eligible to participate in the company’s 401(k) plan after three (3) months of continuous service.
• Paid Time Off (PTO): Start accruing PTO from your very first day of employment.
• Flexible Benefits: Customize your benefits package to fit your personal and family needs.

GetixHealth/Americollect is an equal opportunity employer and participates in E-Verify.

Equal Opportunity Employer

This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.