What are the responsibilities and job description for the Insurance Specialist position at ECLARO?
Job Number: 26-00468
Be at the forefront of innovation. ECLARO is looking for an Insurance Specialist for our client in Chapel Hill, NC.
ECLARO’s client is notable public research university. If you’re up to the challenge, then take a chance at this rewarding opportunity!
Position Overview:
Responsibilities:
Lester Candilado
jan.candilado@eclaro.com
6466800168
Lester Candilado | LinkedIn
Equal Opportunity Employer: ECLARO values diversity and does not discriminate based on Race, Color, Religion, Sex, Sexual Orientation, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status, in compliance with all applicable laws.
Be at the forefront of innovation. ECLARO is looking for an Insurance Specialist for our client in Chapel Hill, NC.
ECLARO’s client is notable public research university. If you’re up to the challenge, then take a chance at this rewarding opportunity!
Position Overview:
- This Insurance Specialist position offers both dental and medical insurance services for the Client.
- The Insurance Specialist works in all areas of billing and reimbursement, including private dental insurance companies and managed care organizations.
- This role requires specialized knowledge of insurance industry standards related to billing and reimbursement, along with a strong understanding of accounts receivable.
- This position collaborates closely with private insurance carriers, particularly those contracted with the clinics.
- It also requires a comprehensive understanding of dental and medical terminology, dental procedural and diagnostic coding, medical-dental cross-coding, electronic claims processing, and the policies and contracts of multiple insurance vendors.
Responsibilities:
- The responsibilities of this role include filing dental insurance claims and pre-treatment estimates for privately insured patients.
- Obtaining and providing the clinical documentation necessary for claims processing, such as x-rays, chart notes, and letters of necessity.
- Investigating denied claims, following up on those investigations, and submitting appeals for those denied claims.
- Verifying essential documentation including insurance cards, insurance explanations of payment, provider narratives, and insurance consent.
- Regularly auditing patient records for accuracy and completeness of billing, coding, and clinical documentation.
- This position will require extensive communication with various insurance companies, along with effective use of insurance portals.
- Effective communication and deductive reasoning are essential skills.
- Compliance with HIPAA regulations is mandatory.
- Other duties as assigned.
- 401k Retirement Savings Plan administered by Merrill Lynch
- Commuter Check Pretax Commuter Benefits
- Eligibility to purchase Medical, Dental & Vision Insurance through ECLARO
Lester Candilado
jan.candilado@eclaro.com
6466800168
Lester Candilado | LinkedIn
Equal Opportunity Employer: ECLARO values diversity and does not discriminate based on Race, Color, Religion, Sex, Sexual Orientation, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status, in compliance with all applicable laws.
Salary : $24