Client Insurance Rep

Description

Use your Accounts Receivable and medical insurance experience to assist with processing claims and ensuring that clients understand their plans. The claims for this position are almost 100% commercial and some Medicaid Managed Care. The largest part of this role is researching unpaid and denied commercial claims.

Respond to phone call requests for benefits by evaluating and determining coverage for benefits based on the member’s plan/client’s benefit plan.

• Respond to phone call inquiries regarding the processing of a claim.
• Researches policy information and membership records to resolve issues.
• Maintain quality and production standards as defined by client contract and/or management determination of need.
• Manage time adequately to ensure proper turn around for all tasks such as customer service requests, follow-up, and audit feedback.
• This position also does the credentialing for Medicare and commercial insurance. Credentialing is not easy and is second largest part of the role with new clinicians, clinicians becoming licensed, new APNs and new doctors joining our team.

Teamwork is key to the success of our business and customer service skills are a must. We will provide training for our electronic record system but require prior insurance processing experience--preferably in a medical setting.

Organization and attention to detail are important skills for this position.

Sinnissippi Centers offers a competitive benefits package and healthcare plan.

• Health, Dental, Vision insurance
• Employee assistance program
• Agency-provided Life insurance
• Supplemental Life Insurance
• AFLAC plans
• Paid time off
• 401(k) Retirement plan with 50% - employer match

In a recent staff satisfaction survey, 98.68% of Sinnissippi staff said, "The work I do is important." Come join our organization and make a difference every day!

Position has a starting wage of $18.13+ DOE / per hour.

YOU are welcome here. At Sinnissippi Centers we understand that each person is unique and rooted in their individual culture. We proudly believe that diversity, equity, and inclusiveness are vital for our mission, vision, and values, and are important for healthy communities.

Using evidence-based practices, our approach of trauma informed care, driven by diversity, equity, and inclusion, creates a safe place where people are seen, heard, valued, empowered to succeed, and can proudly see themselves—as consumers, as staff, and as community members.

There is no room for prejudice nor discrimination in our mission, vision, or values.

Our Vision: Together creating the highest level of care, empowering people of all ages to find joy and hope.

Our Values: Respect, Integrity, Compassion, Humor, Collaboration, Acceptance, & Quality.

Together we are building the world that we want to see. Come join us.

Job Type: Full-time

Requirements

 Organization and attention to detail are important skills for this position. 

Accounting, billing and financial experience preferred.