Insurance Specialist

Company: Frost-Arnett
Location: Nashville
Posted on: August 7, 2022

Job Description:

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 denied claims.
Following up on claims within the appropriate time frame.
Submitting claims and medical documentation
Filing payer reconsiderations and/or formal appeals when needed.
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 REQUIREMENTS

Knowledge of federal, state, and local laws, regulations, and rules concerning the insurance industry.
Must possess interpersonal skills to handle sensitive and confidential situations.
Position continually requires demonstrated self-confidence, skill, and diplomacy.
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 directions
Exceptional customer service skills consisting of verbal and written communication.
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 valid conclusions.

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