PFS Group Houston, Texas 77092, United States
Jan 22, 2018Full time
The Insurance Specialist ensures the efficient operation and effective reimbursement of third party account receivables by researching accounts, refiling or appealing claims, submitting additional medical documentation and tracking account status by monitoring and analyzing assigned unresolved third party accounts. They will initiate contacts and negotiate appropriate resolution (internal and external) as well as receive and resolve inquiries and correspondence from third parties and patients. The ability to analyze, audit and reconcile an account is critical to this position. Processes in the claims resolution may vary based on clients’ needs and/or contract. In this position you will follow-up on aged accounts receivable to help ensure continuity of cash flow and to help secure resolution of account balances. Requirements At least one year experience in medical claims resolution/follow-up OR vocational school certification in Medical Insurance and Billing Commercial, Medicare, Medicaid, and workers’ comp background Outstanding listening, communication, problem-solving and research skills Excellent computer skills Strong customer service experience demonstrating compassion and concern Ability to work well under pressure and multi-task routinely Professional presentation/appearance/demeanor HIPAA knowledge Demonstrated stable work history All candidates will be required to undergo a pre-employment drug screen and a pre-employment national background check.