Insurance Specialist
ECLARO
Chapel Hill, NC
Job Number: 26-00006
Be at the forefront of innovation. ECLARO is looking for an Insurance Specialist for our client in Chapel Hill, NC.
ECLARO’s client is notable public research university. If you’re up to the challenge, then take a chance at this rewarding opportunity!
Position Overview:
- This Insurance Specialist position offers both dental and medical insurance services for the Client.
- The Insurance Specialist works in all areas of billing and reimbursement, including private dental insurance companies and managed care organizations.
- This role requires specialized knowledge of insurance industry standards related to billing and reimbursement, along with a strong understanding of accounts receivable.
- This position collaborates closely with private insurance carriers, particularly those contracted with the clinics.
- It also requires a comprehensive understanding of dental and medical terminology, dental procedural and diagnostic coding, medical-dental cross-coding, electronic claims processing, and the policies and contracts of multiple insurance vendors.
Responsibilities:
- The responsibilities of this role include filing dental insurance claims and pre-treatment estimates for privately insured patients.
- Obtaining and providing the clinical documentation necessary for claims processing, such as x-rays, chart notes, and letters of necessity.
- Investigating denied claims, following up on those investigations, and submitting appeals for those denied claims.
- Verifying essential documentation including insurance cards, insurance explanations of payment, provider narratives, and insurance consent.
- Regularly auditing patient records for accuracy and completeness of billing, coding, and clinical documentation.
- Other duties as assigned.
Skills:
- This position will require extensive communication with various insurance companies, along with effective use of insurance portals.
- Effective communication and deductive reasoning are essential skills.
- Compliance with HIPAA regulations is mandatory.
Pay Rate: $22 / Hour
If hired, you will enjoy the following ECLARO Benefits:
- 401k Retirement Savings Plan administered by Merrill Lynch
- Commuter Check Pretax Commuter Benefits
- Eligibility to purchase Medical, Dental & Vision Insurance through ECLARO
If interested, you may contact:
Melissa Francisco
Melissa.Francisco@eclaro.com
646-849-5125
Melissa Francisco | LinkedIn
Equal Opportunity Employer: ECLARO values diversity and does not discriminate based on Race, Color, Religion, Sex, Sexual Orientation, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status, in compliance with all applicable laws.
About the Company
ECLARO
Eclaro is a Business and Technology Consulting Firm that connects top talent with opportunities nationwide. We have direct access to Hiring Managers from leading Fortune 1000 organizations in almost every industry segment, with particular expertise in:
• Technology and Business Consulting
• Financial Services and Insurance
• Pharmaceuticals and Life Sciences
• Consumer Products, Public Sector, and Utilities
Eclaro provides fully customizable, comprehensive talent acquisition and management of seasoned professionals through a number of business models, including:
• Consulting
• Professional Hiring
• Global Integrated Delivery™
• Managed Services
Eclaro recruits and manages a staff of highly skilled individuals in an array of specialized disciplines enabling our clients to leverage new opportunities, respond to increased and changing demands, and increase their profitability.
Eclaro’s Management Team averages over 25 years of experience in partnering with clients in technical, corporate operations and human capital solutions. We hold ISO 9001:2008 certification and have achieved SOC 2 Type 2 certification in Security, Availability and Confidentiality. Eclaro’s decades of expertise and collaborative practice have proven that The Right People are The Answer.