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Insurance Follow-up Specialist
Location
Worldwide
Posted
1 day ago
Salary
0
Seniority
Mid Level
No structured requirement data.
Job Description
Insurance Follow-up Specialist
CorroHealth
Role Description Insurance Specialists are responsible for accurately identifying insurance claims denials and/or claims processing errors to resolve accounts. This is a remote position. - Resolve unpaid/denied claims by leveraging proprietary software system, making phone calls, generating letters, accessing client systems and insurance carrier web portals in the pursuit of getting a claim resolved. - Review medical documentation such as UB04 claim forms, EOB’s and medical records to determine the appropriate course of action for claim resolution. - Maintain familiarity with client preferences and known issues. - Meet monthly production and quality expectations. - Comply with HIPAA privacy laws. - Other duties as assigned. Qualifications - High School Diploma or equivalent. - At least one year of physician and/or hospital AR experience preferred. - Knowledge of UB04 claim forms, EOB’s and medical records preferred. - At least one year of Epic, Cerner, Meditech or other EMR experience preferred. - Knowledge of basic computer functions. - Ability to work effectively in a remote environment. - Strong verbal and written communication skills. - Basic mathematics skills (addition, subtraction, calculate percent, etc.). - Ability to analyze and interpret documents, contracts, notes, and other correspondence. - Ability to multitask in a fast-paced environment. - Organization skills with a strong attention to detail. Requirements - Regular eye-hand coordination and manual dexterity is required to operate office equipment. - The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. - At times, Team Members are subject to sitting for prolonged periods. - Infrequently, Team Members must be able to lift and move material weighing up to 20 lbs. - Team Members may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.
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• Identify client needs and recommend tailored insurance solutions • Develop and maintain strong client relationships • Generate leads through networking, referrals, and company-provided resources • Educate clients on available policies and coverage options • Follow up with prospects to close sales and maintain customer satisfaction • Stay informed about industry trends and product offerings • Work independently while collaborating with a supportive team

