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Claims Specialist
Randstad Digital Chicago, IL
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$59k-73k (estimate)
Full Time 1 Week Ago
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Randstad Digital is Hiring a Claims Specialist Near Chicago, IL

Hello,

I hope all is well! I am not sure if you are still in the market looking for work as I received a couple of 12 months (Temp-to-hire/ Perm) as a Medical Claims Retrieval Specialist with one of our top National Clients.

Mode of work: 100% Remote

Facility Zip code: 60607 (Chicago, IL)

Profession: Medical Claims Retrieval Specialist

Work Authorization/ Taxation: Citizen of the US/ Green card Holder on W2

Experience (Min.):

  • High school diploma, GED or equivalent

Duration: Monday - Friday 08.00 AM - 05.00 PM

Field of expertise

  • Demonstrated understanding of HIPAA regulations
  • Previous collections experience

Required Skill

  • Prior experience in healthcare, insurance, or collections industries.
  • Demonstrated ability to work in fast-paced, remote environments with minimal supervision.
  • Strong communication skills, including the ability to communicate professionally and effectively with medical providers and insurance representatives.
  • Knowledge of medical terminology and the insurance industry.
  • Proven track record of meeting or exceeding call targets and deadlines.
  • Familiarity with Microsoft Office.
  • Candidates with additional relevant certifications or training in medical billing, coding, or insurance will be given preference.
  • Ability to maintain a HIPAA-compliant work environment , ensuring privacy and security.
  • Metrics-focused mindset, with a commitment to continuous improvement and 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 for Client Submittal

  • Updated resume
  • Computer Navigation Quiz (Results are documented automatically) - Needs at least a 9/12 to be considered.
  • Test Link: https://docs.google.com/forms/d/e/1FAIpQLScSSm_WdtWnGC-NZj3dZ3Z6jdF5oAGo_6GQGsEHf4VYqC9gbg/viewform?usp=pp_url

Job Summary

JOB TYPE

Full Time

SALARY

$59k-73k (estimate)

POST DATE

05/04/2024

EXPIRATION DATE

05/19/2024

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If you are interested in becoming a Claims Specialist, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Claims Specialist for your reference.

Step 1: Understand the job description and responsibilities of an Accountant.

Quotes from people on Claims Specialist job description and responsibilities

The specialist reports and processes these claims by researching the policy and accumulating evidence regarding the claim.

02/21/2022: Benton Harbor, MI

Claims specialists must also compile reports and communicate regularly with supervisors and managers regarding the status of claims.

03/17/2022: Madison, WI

Claims Specialists are responsible for a wide range of administrative tasks related to the delivery of medical care.

03/13/2022: New Brunswick, NJ

Evaluates liability, coverage and settles claims within prescribed procedures and authority.

03/07/2022: Vallejo, CA

Reviews and evaluates property claims for coverage and further claim handling procedures to conclude within required statutory time frame.

03/03/2022: Provo, UT

Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.

Career tips from people on Claims Specialist jobs

Claims specialists are required to follow the California Health and Safety Code when accepting or denying claims.

02/04/2022: Lynchburg, VA

They must treat clients fairly and equitably, but also make sure claims are legitimate and reasonable.

03/03/2022: Portland, ME

They must know the details of claims verification, payment processing, dispute resolution and fraud detection.

02/14/2022: Hialeah, FL

A good claims specialist will take a proactive approach to their job.

02/21/2022: Helena, MT

Claims specialist positions require superb organization skills to keep track of financial documents.

03/26/2022: New Bedford, MA

Step 3: View the best colleges and universities for Claims Specialist.

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