Wakefield & Associates
  • 11-Nov-2021 to 10-Jan-2022 (EST)
  • Tennessee - EBO
  • Knoxville, TN, USA
  • Full Time

General Summary of Duties

The Healthcare Insurance Specialist assists the unit in resolving consumer account balances pending with a third-party payer and working with consumers on behalf of our client as an extended business partner. This position is fully remote - work from home.

Duties of Job

  • Successfully assist in leading team to meet defined goals and contractual obligations for each client
  • Follow-up on accounts by contacting third-party payers via website/telephone/mail for payment status, according to schedule of disposition/payer to be worked on given days
  • Researches, identifies, and rectifies any special circumstances affecting resolution of consumer account
  • Gather information regarding other pending claims on account
  • Contact third party payer to verify benefits and eligibility dates
  • Update consumers account in system with any action taken or additional information attained
  • Adheres to all established company policies and departmental procedures. Remains current on Federal and State regulations and statues that influence collections of receivables
  • Performs other duties as assigned by managing supervisor

Job Requirements

  • 2-4 years' experience in a medical environment with emphasis on collections, follow-up, and/or billing for third party
  • Medicare/DDE experience is a plus.
  • Working knowledge of Healthcare Revenue Cycle Operations. Experience in hospital billing is preferred
  • Working knowledge of all appropriate billing forms, including 1500 and UB04
  • Ability to identify trends within claim denials in an effort to quickly resolve multiple claim issues
  • Ability to take and follow direction
  • Excellent communication skills
  • Computer literate with a knowledge of, or ability to learn about, collection procedures and governing laws applicable to position
  • Ability to learn new software as necessary


  • Major Medical Insurance
  • Flexible Spending Account
  • Dental Insurance
  • Vision Insurance
  • Life Insurance
  • Long Term & Short Term disability 100% paid by employer after 1 year
  • Voluntary Term Life
  • 401(k) Savings Plan
  • UNUM supplemental Insurance
  • Paid Holidays
  • Paid Time Off

Wakefield & Associates
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