Licensed Property & Casualty Insurance Agent
TTEC
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Insurance Representative – LTC
Sanford Health
full-time
Posted on:
Location Type: Remote
Location: Remote • Iowa, Minnesota, North Dakota, South Dakota • 🇺🇸 United States
Visit company websiteSalary
💰 $16 - $26 per hour
Job Level
Junior
About the role
- Processes and monitors unpaid third party insurance, Medicare, Medicaid or government-assisted program accounts for proper reimbursement
- Prepares and submits claims to payers either electronically or by paper
- Secures necessary medical documentation required or requested by payers
- Proactively identifies and performs account follow-up on outstanding insurance balances
- Completes work within authorized time to assure compliance with departmental standards
- Keeps updated on all state/federal billing requirements
- Understands edits and appropriate department procedures to effectively submit and/or correct errors on claims
- Processes and resolves denials
- Uses advanced knowledge to process payer rejections
- Conducts trend analyses, appeals and resolves low payment or underpaid accounts
- Provides input for payer-specific meetings
- Handles difficult account situations and resolves issues delaying or preventing payments from payers
- Accurately and completely follows claim through entire billing process
- Ensures all claims consistently meet compliance regulations
- Consistently demonstrates ability to input data accurately into the computer system
- Consistently answers the telephone courteously
- Maintains and updates computer skills as needed for work assignments
- Demonstrates the ability to utilize software applications for maximum efficiency
Requirements
- High school diploma or equivalent preferred
- Six months' related work experience required
- Computer skills essential
- Post-secondary or trade courses in accounting, business, and communications would be helpful
Benefits
- Work from Home
- Flexible Scheduling
- One-on-One Training
- Autonomy
- Potential for Advancement
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
claims processinginsurance reimbursementmedical documentationaccount follow-upbilling compliancedenial resolutiontrend analysisdata input accuracypayer rejection processingappeals management
Soft skills
problem-solvingcommunicationattention to detailcustomer serviceorganizational skillsproactive approachinterpersonal skillstime managementadaptabilityconflict resolution
Certifications
high school diplomatrade courses in accountingtrade courses in businesstrade courses in communications
