Insurance Specialist

Location: Grand Ledge

# Insurance Specialist Hot Job Grand Ledge, MI 48837## Overview Salary Range $18.00 - $21.00 Hourly Level Experienced Position  Type Full Time Job Shift Day Education  Level High School Category Admin  - Clerical## Description Are you detail-oriented, organized, and passionate about making a difference in healthcare? As an Insurance Specialist, you'll play a vital role in our Revenue Cycle team, ensuring smooth and accurate claims processing.

From handling claims creation to following up with providers, patients, and insurance companies, you’ll help keep everything running seamlessly!

Why You’ll Love this Role:
· Be a key player in a dynamic, fast-paced environment
· Work closely with providers, patients, and insurers to ensure smooth claim processing
· Take on leadership opportunities by mentoring peers and leading projects

If you're ready to bring your expertise to a collaborative and supportive team, we’d love to hear from you!

Supervisory responsibilities

This role serves as a lead or mentor for peers or assigned staff. No formal supervisory responsibilities assigned but may be assigned to lead tasks, groups, or projects.

Essential Functions The following list is a summary of the key function of the job and may not be inclusive of all duties assigned.
· Enters billing charges via the practice management system and manual entry process, including correcting and refilling denied claims.
· Posts patient and insurance payments manually and electronically
· Follows up with assigned payers on rejections, denials, inquires, status, etc.
· Responsible for aged accounts receivables for assigned payers.
· Participates in daily phone que rotation, providing exceptional customer service when responding to patient inquiries.
· Works cooperatively with management to deescalate any patient complaints received.
· Attends and participates in meetings and training.
· Complies with rule, regulations, policies, and procedures for collecting payments.
· Performs other duties as assigned.

Core Competencies All employees of L.O. Eye Care are expected to demonstrate the following core competencies. Regardless of position or status. Additional job-specific competencies may be required of each position.
· All employees of L.O. Eye Care are expected to demonstrate the following core competencies, regardless of position or status. Additional job-specific competencies may be required of each position.
· Communication – Ability to communicate effectively both verbally and in writing.
· Conscientious – Ability to feel obligated to do right or be good along with awareness of one’s own conduct, intentions, or character.
· Teamwork – Ability to work well in groups, develop and maintain positive working relationships, help resolve conflict, and support team goals.
· Adaptability – Ability to adapt to change, be open to new ideas, handle pressure and uncertainty, and adjust work plans to meet changing company needs.
· Trustworthy – Ability to be worthy of confidence and create assured reliance on the character, ability, and truth of own self.
· Patient Confidentiality – Ability to maintain patient confidentiality, and hold others accountable to such, in accordance with the highest ethical standards.

Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

Work Environment
· Typical office environment.

Physical demands/potential hazards
· Must be able to sit for prolonged periods, must be able to use eyes, hands, and body to maintain office dexterity and mobility; may be required to lift typical office equipment up to…