Remote Claims Resolution Specialist in Northbrook

Location: Illinois

Compensation: To Be Discussed

Staff Reviewed: Thu, Nov 12, 2020

This job expires in 10 days

Job Category: Insurance

Remote Level: 100% Remote

Employer Type: Staffing Agency

Career Level: Experienced

Education Level: Bachelors

Job Summary

A talent acquisition agency is in need of a Remote Claims Resolution Specialist in Northbrook.

Individual must be able to fulfill the following responsibilities:

  • Communicate effectively and professionally with insurance company representatives regarding inquiries on billed claims
  • Provide requested documentation, as required by insurance companies, to adjudicate claims
  • Work with payers to understand specific reasons for denials and put in place measures to prevent future denials

Qualifications for this position include:

  • Minimum 2 years of experience with health insurance and billing operations with a focus on claims processing and reimbursement
  • Significant knowledge of regulatory and payer requirements for reimbursement and reason(s) for denials
  • High School Diploma required; Bachelor’s degree or relevant experience
  • Extensive knowledge of insurance collection practices, and accounts receivable follow-up
  • Ability to work independently as an individual contributor and adapt quickly to changing priorities
  • Possess a secure work area conforming to HIPAA guidelines