Posted on: August 7, 2022
Job Category: Collections & OperationsRequisition Number:
INSUR001712 Full-Time Nashville, TN 37210, USAJob
DetailsDescriptionCOMPENSATION & BENEFITS
Market competitive compensation program.
Get paid for the experience.
Health, Gym discounts, Dental, Vision, Life, Health Savings
Account, Flexible Spending Account, 401(k), Paid Time Off, Paid
Holidays, & More.
ESSENTIAL FUNCTIONS OF RESPONSIBILITIES:
Researching denied medical claims.
Communicating with insurance companies to effectively resolve
Following up on claims within the appropriate time frame.
Submitting claims and medical documentation
Filing payer reconsiderations and/or formal appeals when
Staying persistent in your disputes with insurance companies
regarding denied claims.
Verified eligibility opportunities.
Track trending denials
Recognizing denial trends & knowing how to properly track those
trends, understanding & tracking the root cause of the denial and
the root cause of the current claim status.
Perform other duties as assigned.
Work Hours: Monday - Friday 8 am to 5 pmQUALIFICATIONSTo perform
this job successfully, an individual must be able to perform each
essential function satisfactorily, with or without reasonable
accommodation. The requirements listed below are representative of
the knowledge, skill, and/or ability required. Reasonable
accommodations may be made to enable individuals with disabilities
to perform the essential functions.EDUCATION and/or EXPERIENCE
ICD-10: 9+ year (Required)
Medical Billing: 9+ (Required)
Medical Insurance Verification: 9+ years (Required)
Medical Insurance Denials: 9 years (Required)
Previous experience in customer service, collections, or a related
role is preferred.
Ability to work in a fast-paced environment
Ability to communicate clearly and briefly, utilizing proper
grammar and telephone etiquette.
Prior PC and keyboard knowledge is a mandatory requirement.
Ability to compute basic math calculations using addition,
subtraction, multiplication, division, and percentages.
Knowledge of federal, state, and local laws, regulations, and rules
concerning the insurance industry.
Must possess interpersonal skills to handle sensitive and
Position continually requires demonstrated self-confidence, skill,
Proven ability to organize and motivate.
Communicate clearly, concisely, and effectively both verbally and
written, bilingual in Spanish is a plus
Must have a working knowledge of a Windows-based system; experience
in word processing, email, and Excel is a plus
Some analytical ability is required to gather information from
consumers, find solutions and prioritize work.
Work requires continual attention to detail in data entry of
information related to consumer interactions.
Knowledge of healthcare and/or insurance practices preferred.
SKILLS & ABILITIES
Strong listening skills - Ability to listen and understand
Exceptional customer service skills consisting of verbal and
Ability to converse and respond to common inquiries from consumers
and members of the general public.
Ability to write business-related documents such as letters,
emails, and other business correspondence as needed.
Analytical and problem-solving skills.
Strong individual work ethic possessing the ability to work within
a team highly driven, self-starter with the ability to work
independently as well as contribute to a team environment.
Ability to define problems, collect data, establish facts, and draw
PHYSICAL DEMANDS The physical demands described here are
representative of those that must be met by an employee to
successfully perform the essential functions of this job.
Reasonable accommodations may be made to enable individuals with
disabilities to perform the essential functions.While performing
the duties of this job, the employee is regularly required to sit,
talk and hear. The employee frequently is required to use their
hands to dial a telephone, utilize a computer keyboard and mouse,
and operate office equipment. The employee is occasionally required
to stand, walk, and reach with hands and arms, as well as lift up
to 20 pounds.WORK ENVIRONMENTThe employee works in a
temperature-controlled office environment. The employee sits at a
desk during regularly scheduled work hours, answers and makes
telephone calls using a telephone, types on a computer keyboard,
and reads and comprehends information from a computer system and
written resources.Frost-Arnett Company extends equal employment
opportunities to qualified applicants and employees on an equal
basis regardless of an individual's age, race, color, sex,
religion, national origin, disability, veteran status, sexual
orientation, or any other reason prohibited by law.PI187940432
Keywords: Frost-Arnett, Nashville , Insurance Specialist, Other , Nashville, Tennessee
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