Insurance and Complex Claims Specialist at Professional Credit Service

Springfield, Oregon, United States -

Full Time

Start Date

Immediate

Expiry Date

25 Mar, 26

Salary

0.0

Posted On

25 Dec, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Insurance, Collections, Customer Service, Negotiation, Motor Vehicle Claims, Personal Injury Claims, Veterans Administration Billing, TriCare Billing, Worker’s Compensation, Computer Skills, Epic EMR, Cerner EMR, Meditech EMR, Decision-Making Skills, Communication Skills, Problem Solving

Industry

Hospitals and Health Care

Description

Job Details Level: Experienced Job Location: MI90 Springfield Office - Springfield, OR 97477 Position Type: Full Time Travel Percentage: None Job Shift: Day Remote: Onsite Springfield, Oregon or WFH Phoenix, AZ area Do you have experience in insurance, denials, and collections, and have a passion for delivering exceptional customer service while helping individuals through challenging situations? If so, we’re looking for someone like you! Join the Industry Leader Professional, the nation’s top provider of accounts receivable management services, is hiring Insurance and Complex Claims Specialist! The Insurance and Complex Claims Specialist will focus on outlier collection accounts. Instances where the healthcare balance stems from Motor Vehicle, Personal Injury or denied insurance claims. Candidate will dig deep into the details to identify other sources of recovery and will work with third party payers, attorneys and other sources to resolve the collection accounts. Why Choose Professional? At Professional, we believe every interaction matters. That’s why we prioritize building positive, productive relationships with consumers. With cutting-edge omni-channel communication tools, you'll connect with customers via text, live chat, email, and phone—delivering top-notch service at every touchpoint. If you’re enthusiastic about creating positive experiences and being part of a forward-thinking team, we want to hear from you! Job Details: Position is Full-Time, 40 hours per week, working Monday – Friday, 8 am – 5 pm PST Location: Work from Home (onsite Springfield, Oregon, or Phoenix, AZ area) Requirements: Minimum of 1 year 1st or 3rd party collection experience Insurance Denial appeals and rebilling process experience. Epic, Cerner, Meditech EMR experience, a plus. Dedicated, private room in your home that is quiet during work hours. Internet connection of 50 MB or more, which is hard-wired (Ethernet connected) from the modem to your company PC. Your desktop work surface must have room for 2 PC monitors. Professional will provide all computer equipment. You will be required to sign and acknowledge these work-from-home requirements. Must have a personal cell phone to install a security application. Must be present in virtual work environment via company provided webcam during all working hours. Must be meeting minimum performance levels and KPI’s. Good decision-making skills are required. What Will You Be Doing as a Complex Claims Specialist? We will train you to take inbound and outbound collection calls with utmost professionalism and courtesy. Negotiate payment agreements, resolve customer concerns and help consumers get out of debt. Specific Process Motor Vehicle Accident insurance claims (Specifically, third party lien process by state) Personal Injury liability billing practices Veterans Administration, TriCare billing practices Crime Victim processing and claims process General Worker’s Compensation process General computer skills are required with the ability to navigate multiple screens and type 25 words per minute Top Reasons to Join Our Team: A stable organization offering an exciting yet challenging employment opportunity, Growth potential, both personally and professionally. Comprehensive training to set you up for success. A supportive, dynamic team environment. The chance to make a meaningful impact by helping people navigate tough times. Great benefits (health, dental & vision Insurance) with the Employee only cost share is $201.44 per month and eligible the 1st of the month following 60 days. We offer a traditional 401k/Roth Plan with discretionary matching. Paid Time-Off accruing up to 80 hours per year as of day 1 for the first 2 years (based on hours worked) along with 7 paid Holidays (after 60 days of employment) Paid Volunteer and Community Outreach Program that allows you to ‘help others’ in the community, See what it's like to work at Professional Credit by visiting our website at and checking out our video at: http://professionalcredit.com/index.php/careers Apply today and start making a difference with Professional! EOE/DFW

Responsibilities

The Insurance and Complex Claims Specialist will focus on outlier collection accounts, working with third-party payers and attorneys to resolve collection accounts. The role involves taking inbound and outbound collection calls, negotiating payment agreements, and helping consumers navigate their debts.