Submits claims to insurance providers on behalf of our clients for their patients, following ... Manages inventory to ensure metrics are being met to patient's accounts are not being sent to ...
Submits claims to insurance providers on behalf of our clients for their patients, following ... Manages inventory to ensure metrics are being met to patient's accounts are not being sent to ...
Submits claims to insurance providers on behalf of our clients for their patients, following ... Manages inventory to ensure metrics are being met to patient's accounts are not being sent to ...
Submits claims to insurance providers on behalf of our clients for their patients, following ... Manages inventory to ensure metrics are being met to patient's accounts are not being sent to ...
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... Insurance Group (CSAA IG), a AAA insurer, is one of the leading personal lines property and ... Your Work: * Manage homeowners property claims from first notice of loss through resolution ...
... Insurance Group (CSAA IG), a AAA insurer, is one of the leading personal lines property and ... Your Work: * Manage homeowners property claims from first notice of loss through resolution ...
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Remote Insurance Claims Manager information
What are the key skills and qualifications needed to thrive as a remote insurance claims manager?
What does a remote insurance claims manager do?
How does a remote insurance claims manager typically coordinate with on-site team members and external partners?
What is the difference between Remote Insurance Claims Manager vs Remote Insurance Adjuster?
| Aspect | Remote Insurance Claims Manager | Remote Insurance Adjuster |
|---|---|---|
| Credentials | Typically requires a claims management certification or industry experience | Requires licensing and certifications specific to insurance adjusting |
| Work Environment | Oversees claims teams, manages processes remotely | Evaluates individual claims remotely, often in the field or from home |
| Employer & Industry Usage | Used by insurance companies for claims oversight | Used by insurance companies for claim evaluation and settlement |
| Search & Comparison Intent | People compare managerial roles in claims processing | People compare roles focused on claim assessment and settlement |
The main difference is that a Remote Insurance Claims Manager oversees claims teams and manages claims processes remotely, requiring management experience and certifications. In contrast, a Remote Insurance Adjuster evaluates individual claims, often needing specific licensing and adjusting certifications. Both roles are integral to the insurance industry but differ in responsibilities and focus areas.
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Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 27 days ago
Job description
Responsibilities:
- Provides service via all available omni channels to serve as the liaison between the business, clients, patients, and other parties, such as insurance companies.
- Offers education on the healthcare revenue cycle and troubleshoots accounts through resolution by reviewing large balance accounts and other departmental insurance discovery processes.
- Engages in and enjoys active listening with callers, confirming or clarifying information and diffusing conflict.
- Makes appropriate changes or documentation in client healthcare systems and internal technology platforms.
- Submits claims to insurance providers on behalf of our clients for their patients, following through to resolution.
- Contributes to the development of workflows for incoming clients, developing procedures and communicating expectations to the contact center.
- Proactively shares information about healthcare revenue cycle services to support the growth of the business's client and/or account base.
- Follows department processes and procedures in compliance with industry laws and regulations.
- Manages inventory to ensure metrics are being met to patient's accounts are not being sent to collections prior to resolution.
- Reviews and escalates complex accounts requiring additional review.
- Meets the key performance indicators and expectations established for the position.
- Performs all duties above with the highest integrity and confidentiality.
- Completes assigned training and learning plans, including those that fulfill industry compliance requirements.
- All other duties as assigned.
Education & Experience
Required Education: High School Diploma / GED
Preferred Education: Two Years of College or Associate's Degree
Experience:
• 1+ year(s) of experience in a customer service capacity required, preferably in a contact center environment
• 1+ year(s) of experience multi-tasking in a fast- paced environment required
• 1+ year(s) of experience with medical insurance, coding, or billing in a professional environment
Benefits & Incentives:
- Comprehensive Health Coverage: Enjoy medical, dental, and vision plans available starting after 60 days of full-time employment.
- Life & Disability Insurance: Benefit from basic life/AD&D, short-term, and long-term disability coverage, with optional voluntary life/AD&D plans.
- 401(k) Plan: Eligible to participate in the company's 401(k) plan after three (3) months of continuous service.
- Paid Time Off (PTO): Start accruing PTO from your very first day of employment.
- Flexible Benefits: Customize your benefits package to fit your personal and family needs.
GetixHealth/Americollect is an equal opportunity employer and participates in E-Verify.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.
About ARStrat
Sourced by ZipRecruiter
Industry
Accounting services
Company size
201 - 500 Employees
Headquarters location
Sugar Land, TX, US