Insurance Specialist

Interact with customers to provide basic or scripted information in response to routine inquiries about products and services. May handle and resolve general complaints. Excludes individuals whose duties are primarily installation, sales, repair, and technical support.

Perform routine administrative functions such as drafting correspondence, scheduling appointments, organizing and maintaining paper and electronic files, or providing information to callers.

This role works in the accounts and finance departments and deals with accounts receivable. Experience of working in accounts receivable is preferred. Basic working knowledge of accounting software is needed. Process all claims to ensure they are complete and sufficient as per company policies. Work to process the correct claims and add comments on incomplete/incorrect claims based on company policies. Maintain a strong follow-up on all claims within the billing process cycle time and reply to any queries. Coordinate with management and keep them up-to-date on major claims. Accounting and reconciliation of all processed claims into the relevant account.

Plan, direct, or coordinate one or more administrative services of an organization, such as records and information management, mail distribution, and other office support services.

Operate data entry device, such as keyboard or photo composing perforator. Duties may include verifying data and preparing materials for printing.

Answer inquiries and provide information to the general public, customers, visitors, and other interested parties regarding activities conducted at establishment and location of departments, offices, and employees within the organization.

Locate and notify customers of delinquent accounts by mail, telephone, or personal visit to solicit payment. Duties include receiving payment and posting amount to customer's account, preparing statements to credit department if customer fails to respond, initiating repossession proceedings or service disconnection, and keeping records of collection and status of accounts.

Compile, process, and maintain medical records of hospital and clinic patients in a manner consistent with medical, administrative, ethical, legal, and regulatory requirements of the healthcare system. Classify medical and healthcare concepts, including diagnosis, procedures, medical services, and equipment, into the healthcare industry's numerical coding system. Includes medical coders.

Assist patients in obtaining services, understanding policies and making health care decisions.