Acclara - Patient First Financial Excellence

Insurance Services Specialist

10713 W Sam Houston Pkwy N, Houston, TX 77064, USA Req #176
Tuesday, April 27, 2021
We work hard to make Acclara a great place to work. Our people are our greatest assets, and we encourage employees to grow and develop, assuming greater responsibilities and leadership roles.

Job Summary

We are looking for an Insurance Specialist for our Patient Service Department. The successful candidate will accept ownership for effectively handling each form of insurance follow-up. Core responsibilities of an insurance representative include research, insurance billing, and adjustment identification to ensure proper account resolution.

Responsibilities
 

  • Manage a high volume of inbound and outbound calls promptly
  • Identify Contractual and Administrative Adjustments
  • Research insurance billing and adjustment identification
  • Make calls addressing insurance claims and insurance follow-up
  • Review and Interpret Contractual Terms for Managed Care, Commercial, Medicare, Medicaid, and Workers’ Compensation
  • Keep records of all conversations in our call center database in a comprehensible way
  • Frequently attend educational seminars to improve knowledge and performance level
  • Obtain Supporting Documentation Regarding Insurance Follow-up Efforts
  • Meet personal/team qualitative and quantitative metrics

 

Skills
 

  • Previous experience in a patient insurance specialist role (medical field required)
  • Track record of over-achieving quota (over 60 calls)
  • Full understanding of insurance follow-up processes (i.e. Billing, Collections, Managed Care, Medicare, Medicaid, and Commercial Practices)
  • Medical terminology
  • Full understanding of HIPAA and PCI protocols
  • Complete knowledge of contracts, credit reviews, appeals, and inventory
  • Basic knowledge of health care industry terms (e.g. primary care, provider, benefits, EOBs, CPT & ICD-10 codes, HCFAs, UB04s, HCPCS, DRGs, and authorizations/referrals)
  • Excellent verbal and written communication skills
  • Advanced interpersonal skills
  • Ability to multi-task, set priorities and manage time effectively

 

Qualifications

  • High school diploma, or equivalent required
  • Preferred minimum 2 years of experience with medical insurance verification and claim follow-up

 

Acclara Solutions is an Equal Opportunity Employer

Acclara is an equal opportunity at will employer and does not discriminate against any employee or applicant for employment because of age, race, religion, color, disability, sex, sexual orientation or national origin.

Other details

  • Job Family Operations
  • Pay Type Hourly
  • 10713 W Sam Houston Pkwy N, Houston, TX 77064, USA