360care · 6 hours ago
Insurance Billing Operations Specialist
360care is a company focused on insurance operations, and they are seeking an Insurance Billing Operations Specialist to maintain accurate records and ensure clients are billed correctly. The role involves managing billing processes, resolving discrepancies, and maintaining effective communication with internal teams.
CommunitiesElder CareHealth Care
Responsibilities
Review and release bills from third-party vendor
Data Assurance and assist with loading data regarding policy/plan updates in our billing system
Ensure the Integrity of Billing Data
Process coverage or enrollment corrections
Discrepancy Resolution by researching and resolve billing issues
Act as a Subject Matter Expert to provide guidance and support to colleagues on processing and system functionalities
Assist with special projects
Deliver on all key performance metrics
Other supporting duties as assigned which are reasonably within the scope of the duties in this job classification
Maintain confidentiality of all information and abide with HIPAA and PHI guidelines at all times
Actively supports and complies with all components of the compliance program, including, but not limited to, completion of training and reporting of suspected violations of law and Company policy
Maintains confidentiality of all information; abides with HIPAA and PHI guidelines at all times
Reacts positively to change and performs other duties as assigned
Qualification
Required
Associate's degree or 2-5 years of related experience in insurance administration or a similar field
Proficiency in Microsoft Office Suite and adept at learning insurance software/systems
Excellent oral, interpersonal and written communication skills
Exceptional attention to detail
Strong analytical, problem-solving skills
Flexibility and the ability to multi-task
Ability to work independently, with management and/or with other Team Members
Excellent interpersonal skills
Must be detail oriented and self-motivated
Excellent customer service skills
Anticipate needs in a proactive manner to increase satisfaction
Take ownership of job responsibilities by initiating prompt and appropriate follow up and/or action to problems