Auto Claims Specialist
New
J
JobgetherHealthcare Finance
United StatesFull-Time
Salary$15/hour plus an incentive plan
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Job Details
- Required Skills
- Microsoft ExcelMicrosoft OfficeProblem SolvingCritical thinking
Requirements
- Working knowledge of Microsoft Office applications, particularly Word, Excel, and Outlook.
- Strong technical proficiency and comfort working across multiple computer screens and software applications.
- Ability to perform effectively in a high-volume, fast-paced environment with defined productivity metrics.
- Strong organizational and multitasking skills, with close attention to detail and accuracy.
- Excellent verbal and written communication skills.
- Demonstrated critical thinking and problem-solving abilities.
- Familiarity with Coordination of Benefits and general insurance billing is a plus.
- Comfortable working independently in a remote environment while remaining engaged and accountable to performance goals.
- Ability to work from a private, distraction-free home workspace with a secure internet connection.
- Home internet must provide download speeds above 20 Mbps and upload speeds above 10 Mbps.
Responsibilities
- Make high-volume outbound calls to patients, insurance representatives, and attorneys to investigate accident and coverage details.
- Research auto accidents and determine the appropriate insurance payer for medical claims.
- Submit medical bills and supporting documentation to insurance companies accurately and efficiently.
- Follow up on unpaid or incorrectly paid claims, identify resolution steps, and resubmit claims when additional payment is due.
- Work to maximize claim payments and support revenue recovery for healthcare providers.
- Prepare and contribute to denial reports, audits, and other team-support activities.
- Manage multiple systems, screens, and applications simultaneously while maintaining productivity and accuracy.
- Meet established performance and productivity metrics in a fast-paced outbound call-center environment.
- Apply critical thinking and problem-solving skills to identify efficient solutions to complex claims situations.
- Maintain clear, professional, and effective communication with patients, insurers, attorneys, and internal stakeholders.
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