A Claims Representative accepts and reviews applications for insurance and provides information to insurance agents. Assists insurance customers, answers questions and processes requests to change or cancel policies. May assist with insurance claims that are disputed, review claims and policy coverage and help to negotiate agreements between customers and an insurance company.
Iowa We care about our employees! We value and respect the talented and committed people that make up our practice. Be a part of an organization that works to make a difference in the lives of its patients by encouraging you to be your best every day.
Position Responsibilities:
In this role, you will be responsible for managing insurance and billing-related tasks to ensure accurate and efficient claims processing. Key responsibilities include answering incoming phone calls regarding insurance and billing inquiries, collecting patient payments over the phone, and addressing claim denials, credits, and accounts receivable for assigned accounts. This role involves troubleshooting denied and pending claims, processing credits, and rebilling accounts when necessary. Additional responsibilities include sending claims to secondary payers, researching and correcting data entry errors, submitting corrected claims, updating system code sets, gathering and loading information from payer websites, and running/creating claims reports. ORA holds all our staff members accountable for providing high-level care, maintaining patient confidentiality, and complying with all HIPAA rules and regulations.
Requirements:
This position requires a high school diploma or equivalent. Previous insurance experience in a medical office is preferred. A successful candidate will possess a strong understanding of customer service principles, be comfortable working in Microsoft Office programs (Word and Excel), and will have familiarity with insurance payers and medical terminology. Excellent interpersonal, oral, and written communication skills, strong attention to detail, organizational skills, and a compassionate and patient-focused approach are essential for success in this role.
Benefits:
More information about the benefits offered as part of our employment package with ORA Orthopedics is available here: https://flimp.live/ORAOrthopedicsBenefitSummary. Please note that some benefits are dependent upon the position and employment status held. ORA Orthopedics is the Quad Cities' largest and most comprehensive orthopedic provider, proudly offering an integrated continuum of orthopedic care that includes orthopedic sub-specialty clinics, walk-in care at our Urgent OrthoCARE clinics, diagnostic imaging, physical therapy, outpatient surgery, and more. For more information on our practice, visit our website at www.qcora.com. Apply to join our team today!
