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Claims Resolution Specialist - Auto

Company: Hire Velocity
Location: Franklin
Posted on: May 18, 2019

Job Description:

Overview

Our Claims Resolution Coordinators investigate and analyze accounts in order to properly identify and coordinate insurance benefits and resolve outstanding balances for our clients. They work closely with the patient as well as insurance carriers until the claim has reprocessed and payment has been issued. Bilingual in Spanish is a plus!

ESSENTIAL FUNCTIONS:

Perform daily tasks presented by manager such as account work, special projects, or requests

Reach daily/monthly quota and/or goals

Conduct online medical research using multiple online medical websites

Contact patients by either phone or through letters

Review medical records, provider notes, Explanation of Benefits, etc. for knowledge of appeal or account information

Update claims system with updated accurate information

Attend weekly team meetings to discuss updates/changes such as new hospital procedures or current client issues

Communicate any issues through the manager including, but not limited to, systems errors, questions for other departments, HIPAA questions

Stay up to date on state laws governing fee schedules, filling limits, and other statutes

Participate in special projects when presented by management

Additional duties as assigned by management

QUALIFICATIONS:

Bachelor's degree is preferred or comparable work experience or work experience and education

Prior experience with insurance claims and/or a background in the legal profession is preferred but not required

Prior experience in an administrative or clerical role in an office environment preferred

Minimum 45 WPM Typing and 6,000 KPH 10-key

Consistent ability to work with a high volume of accounts

Focused and self-motivated

Excellent investigative and problem-solving abilities

Close attention to detail and accuracy

Ability to learn software systems

Exceptional organization, time management, prioritization skills

Ability to adapt to constantly changing environment/ well developed multitasking skills

Exceptional written and verbal communication skills including grammar

Ability to contribute in a positive manner

Proficient using Microsoft office products such as Word, Excel, Outlook and Adobe Acrobat

Knowledge of Healthcare Terminology preferred but not required Associated topics: auto, bodily, casualty, claim adjuster, claimant, insurance, insurance adjuster, insurance examiner, liability, title examiner

Keywords: Hire Velocity, Franklin , Claims Resolution Specialist - Auto, Other , Franklin, Tennessee

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