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Insurance Customer Specialist

Americollect Manitowoc, WI

  • Benefits Offered Vision, Medical, Life Insurance, 401k, Dental
  • Employment Type Full-Time

A Insurance Customer Specialist is responsible to be the key contact for our clients to resolve daily inquires while creating positive experiences and developing a trusting, long term relationship and to validate eligibility, check claims status and assist with the submission of medical claims to insurance carriers. Submission can include but not limited to communicating with or providing our clients with accurate insurance information to file to insurance carriers or the actual typing and filing on behalf of the medical provider. This position also acts as a liaison for our consumers to assist in the resolution regarding account balances listed by their providers.

Expectations

An individual in this position must be able to successfully perform the duties and responsibilities listed below. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.

  • Verbal and written communication for the resolution of clients, consumers, and insurance companies related inbound phone calls, emails and web messages
  • Work proficiently within Americollect’s internal systems while maintaining and/or exceeding required key performance metrics (KPI’s)
  • Review, investigate, take appropriate action and complete all tasks on accounts when referred to the Client Relations Department
  • Validate and ensure all legal and compliance requirements are followed and completed
  • Act as a liaison between our clients and the consumer to resolve inquiries professionally and in a timely manner
  • Run all workers for Client Relations and assist in determining the priority of each worker
  • Create, update, and share all needed reports for the Client Relations department including weekly reporting to specified clients
  • Working with the various client systems and specialties and understanding their differences
  • Dealing with insurance disputes from consumers and understanding the process of resubmission of insurance whether that be a full understanding of insurance eligibility, timely filing, or explanation of benefits
  • Clear understanding of Federal Laws and Regulations and how to proceed with work without breaking any of these laws/regulations
  • Knowledge of different notices and when to use certain ones
  • Training of Client Relations Department/Client or Insurance processes and providing feedback to other departments within the company
  • Responsible for the assistance and completion of new client set up and on boarding
  • Responsible for the resolution of insurance related inbound phone calls received from clients, insurance companies, consumers or any ancillary parties

Preferred Qualifications

Education
High School Diploma or Equivalent – Required

Experience/Training
Medical Terminology preferred

Licenses/Certificates
Certified Revenue Cycle Specialist (CRCS) certification – preferred

Technology/Equipment

  • Basic knowledge of Microsoft Office Word, Outlook, and Excel
  • Basic insurance knowledge/ terminology
  • Knowledge/ability to run macros and validate data preferred

Americollect

Why Work Here?

Come be apart of our growing team!

Established in 1964, Americollect is headquartered in Manitowoc, Wisconsin. What was once a small regional collections agency of 12 employees has grown to be a national multi-division organization. In 2018, Americollect was ranked as a notably fast growing private company by Inc 5000. Partnering closely with healthcare systems across the United States, we operate two divisions: one serving as a hospital’s customer service and the other as a healthcare collection agency. Thanks to the dedication of now nearly 300 talented and bright employees, Americollect is proud to maintain a client retention rate of 99%. Providing a better patient experience by being Ridiculously Nice, Americollect is well-known for its inclusive and creative environment. In 2018, Collection Advisor Magazine named Americollect as one of the most innovative agencies in the industry. We sponsor 7 employee clubs (and growing) that appeal to a wide variety of interests, such as gardening, healthy living, animals, books, movies, fundraising, and volunteering. We continue to offer classroom training, tuition reimbursement, and competency-based education, allowing employees to grow with the company. Generous compensation packages feature base pay; bonus opportunities; health, dental, and vision coverage; and a 401(k) program featuring employer matching.

Address

1851 S. Alverno Rd Manitowoc, WI 54220
Manitowoc, WI
USA

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