Title: Medical Claims Retrieval Specialist
Location: 100% Remote
Pay Rate: $16 on W2
Shift: 8:45-5:15 Eastern Standard Time, Monday - Friday
IMPORTANT NOTE: Employees are not eligible for any time off or leave during the first four weeks of work.
Job Description:
Our team's mission is to support patients and elevate healthcare through diligent and accurate medical record retrieval. As the vital link between healthcare providers, insurers, and Cotiviti, we take pride in our role as trusted facilitators, enabling seamless collaboration and communication. We are steadfast in our commitment to excellence, driven by a passion for making a tangible impact on the lives of patients and the broader healthcare community. Together, we strive to create a world where high-quality care is accessible and attainable for all.
We are seeking a highly motivated and experienced Medical Claims Retrieval Specialist to join our remote team. The ideal candidate should have excellent communication skills, be able to work independently and possess a background in healthcare or insurance-related industries. In addition, the candidate should be metrics-focused, able to use assertive language to progress objectives, demonstrate strong critical thinking skills, and have a mindset of self-improvement and continuous growth.
Responsibilities:
· Make outbound calls to medical providers and insurance companies to retrieve medical records and facilitate the claims retrieval process.
· Utilize available resources to solve issues on the phone and reach out for help resolving claims when needed.
· Request medical records on behalf of insurance companies for review and overcharge collection afterward.
· Update the database with claim information and ensure the accuracy of data.
· Meet daily/weekly/monthly call targets as set by management.
· Actively seek feedback and apply it to improve performance and achieve objectives.
· Continuously strive for self-improvement and professional growth.
Requirements:
· At least 1 year of experience in an outbound call center in a healthcare, insurance, or collections environment.
· Strong communication skills, both written and verbal.
· Ability to work independently and in a team environment.
· Excellent organizational skills with the ability to multitask.
· Proficient in Microsoft Office.
· Knowledge of medical terminology and the insurance industry is highly preferred.
· Must have a high-speed internet connection that is hardwired to the router.
· Maintain a HIPAA-compliant environment, which includes an environment free of distractions, free of others being able to view/hear business activities, and in a secured area.
· Metrics-focused mindset, with the ability to use assertive language to progress objectives and leverage strong critical thinking skills.
· Openness to feedback and a commitment to continuous improvement and growth.
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