Job description
Purpose
Investigates and coordinates no-fault benefits for accident claims from auto, home or other liability insurance policies. Resolves accounts as quickly and accurately as possible, obtaining maximum reimbursement.
Investigates and coordinates no-fault benefits for accident claims from auto, home or other liability insurance policies. Resolves accounts as quickly and accurately as possible, obtaining maximum reimbursement.
Essential Duties and Responsibilities
- Reviews and researches accident claims to investigate possible leads.
- Coordinates insurance benefits for patients. Contacts patients, insurance representatives, and attorneys to verify relevant details and obtain maximum payments. Bills no-fault and TPL carriers when appropriate.
- Requests documentation from insurance representatives when no no-fault insurance exists.
- Closes and returns claims to client upon resolution using correct text and procedures in regards to denial process.
- Maintains proper account documentation in AcciClaim.
- Responds to email and phone correspondence per department guidelines.
- Resolves any issues noted in the QA work reviews.
- Continues education and professional development by attending staff training, department Lunch and Learns, Revecore University, and attending Continuing Education Classes.
- Assists Team Leader with new employee training. Provides initial one-on-one training in position basics and best practices, and serves as a resource for new employees.
- Completes special reports as required, such as aged reports, checklist audits, denial reports, etc.
- Performs special projects as assigned.
- Maintain confidential information, whether verbal, written or electronic, which I will learn in the course of my work at Revecore.
- Will not access or attempt to access confidential data that is unrelated to my job duties in the course of my work at Revecore.
- Will not disclose Protected Health Information (PHI) in violation of law.
Job Knowledge, Skills and Abilities Required
- Ability to communicate effectively verbally and in writing. Proven ability to speak on a one-to-one basis with patients, attorneys and adjusters using appropriate vocabulary and grammar to explain what is required and obtain information.
- Demonstrated ability to work independently and follow-through on assignments with minimal direction.
- Must be able to pay attention to detail in order to produce accurate work, often under minimal supervision.
- Proven ability to be assertive in order to proactively resolve issues.
- Must be skilled in problem analysis and resolution.
- Demonstrated ability to organize and set priorities according to situational demands.
- Working knowledge of computer functions including the internet, and computer software such as Microsoft Office suite and Word Perfect; working knowledge of or ability to learn AcciClaim and SharePoint.
Education and Experience Requirements
- High school diploma or equivalent required.
- At least one year of experience in a professional office environment required; experience inhealth and/or auto insurance preferred.
- Experience with Coordination of Benefits and Subrogation requirements is a plus.
Supervisory Responsibilities
None.
Working Conditions/Environment/Physical Demands/Travel Required
- General office working conditions; sitting and using a computer and a telephone for long periodsof time.
- Protection from weather conditions but not necessarily from temperature changes.
- Percentage of travel: negligible.
jjbodyshop.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, jjbodyshop.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, jjbodyshop.com is the ideal place to find your next job.