Insurance Rep II
- Skokie, IL
- Permanent
- Full-time
- Position: Insurance Representative II
- Location: Skokie, IL
- Full Time
- Hours: Monday-Friday, [hours and flexible work schedules]
The Insurance Representative II is a key member of the hospital's financial services team, responsible for managing insurance claims and resolving billing and payment issues. This position plays a critical role in ensuring the hospital's financial success by optimizing the insurance claim process, maximizing reimbursements, and providing top-notch support to patients and insurance providers.What you will do:
- Review and process insurance claims for accuracy, completeness, and compliance with relevant insurance policies and healthcare regulations.
- Monitor and follow up on pending insurance claims, including appeals and resubmissions, to expedite reimbursement and minimize claim denials.
- Verify patient insurance coverage, including policy details, eligibility, and benefit information, to ensure accurate claim submissions.
- Investigate and resolve claim denials and disputes, providing necessary documentation and communication with insurance companies for claim approval.
- Assist patients in understanding their insurance claims, explaining coverage and reimbursement processes, and addressing any questions or concerns.
- Provide support to patients in understanding and managing their healthcare expenses, including explaining payment options, financial assistance programs, and payment plans.
- Maintain accurate and detailed records of all interactions, claim processing, and patient communications, ensuring compliance with hospital standards and regulatory requirements.
- Stay updated on changes in insurance regulations, ensuring that claim processes align with legal and compliance standards, including HIPAA.
- Generate reports and maintain metrics related to insurance claim status, reimbursement rates, and resolution times.
- Gather and document patient feedback and suggestions, reporting relevant trends or issues to the appropriate department for process improvement.
- Education: Associates Degree Health Administration Required Or Associates Degree Finance Required Or Bachelors Degree Health Administration Preferred Or Bachelors Degree Finance Preferred
- Experience: 2 Years of experience in insurance claims management and billing, preferably in a healthcare or hospital setting.
- Career Pathways to Promote Professional Growth and Development
- Various Medical, Dental, and Vision options
- Tuition Reimbursement
- Free Parking at designated locations
- Wellness Program Savings Plan
- Health Savings Account Options
- Retirement Options with Company Match
- Paid Time Off
- Community Involvement Opportunities