Client Insurance Representative
Sinnissippi Centers, Inc., Dixon, Illinois, United States, 61021
Together we inspire wellness. Through hope & healing, Sinnissippi Centers strives to empower all to live their best lives.
Sinnissippi Centers is looking to hire a Client Insurance Representative. Use your Accounts Receivable and medical insurance experience to assist with processing claims and ensuring that clients understand their plans. The claims for this position are almost 100% commercial and some Medicaid Managed Care. The largest part of this role is researching unpaid and denied commercial claims.
Responsibilities
Respond to phone call requests for benefits by evaluating and determining coverage for benefits based on the member's plan/client's benefit plan. Respond to phone call inquiries regarding the processing of a claim. Work Medicaid claims. Use the Medi system for payment look up and manual claim entry. Review EOP for denial reasons and correct claims for processing. Process and mail client statements. Research policy information and membership records to resolve issues. Maintain quality and production standards as defined by client contract and/or management determination of need. Manage time adequately to ensure proper turnaround for all tasks such as customer service requests, follow-up, and audit feedback. Teamwork is key to the success of our business and customer service skills are a must. We will provide training for our electronic record system but require prior insurance processing experience - preferably in a medical setting. Organization and attention to detail are important skills for this position. Benefits
Health, Dental, Vision insurance Employee assistance program Agency-provided Life insurance Supplemental Life Insurance Paid time off 401(k) Retirement plan with 50% - employer match Pay: $18.73 - $19.67 per hour Equal Employment Opportunity
YOU are welcome here. At Sinnissippi Centers, we understand that each person is unique and rooted in their individual culture. Using evidence-based practices, our approach of trauma-informed care creates a safe place where people are seen, heard, valued, empowered to succeed, and can proudly see themselves-as consumers, as staff, and as community members.
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Respond to phone call requests for benefits by evaluating and determining coverage for benefits based on the member's plan/client's benefit plan. Respond to phone call inquiries regarding the processing of a claim. Work Medicaid claims. Use the Medi system for payment look up and manual claim entry. Review EOP for denial reasons and correct claims for processing. Process and mail client statements. Research policy information and membership records to resolve issues. Maintain quality and production standards as defined by client contract and/or management determination of need. Manage time adequately to ensure proper turnaround for all tasks such as customer service requests, follow-up, and audit feedback. Teamwork is key to the success of our business and customer service skills are a must. We will provide training for our electronic record system but require prior insurance processing experience - preferably in a medical setting. Organization and attention to detail are important skills for this position. Benefits
Health, Dental, Vision insurance Employee assistance program Agency-provided Life insurance Supplemental Life Insurance Paid time off 401(k) Retirement plan with 50% - employer match Pay: $18.73 - $19.67 per hour Equal Employment Opportunity
YOU are welcome here. At Sinnissippi Centers, we understand that each person is unique and rooted in their individual culture. Using evidence-based practices, our approach of trauma-informed care creates a safe place where people are seen, heard, valued, empowered to succeed, and can proudly see themselves-as consumers, as staff, and as community members.
#J-18808-Ljbffr