Insurance Specialist

Position Overview:
To provide administrative support to the Organization by verifying insurance eligibility, identifying benefits, covered services, and supply limitations as needed to maintain client accounts of 180 Medical.

 

Key Responsibilities:

• Verify insurance eligibility and benefits utilizing online and phone resources
• Determine documentation, authorization, and referral requirements through verification of benefits
• Update insurance and document records within MedTrack, an internal database, to support client services and claim payment processes.
• Interpret reference material to make informed decisions regarding insurance requirements
• Communicate insurance eligibility and benefits to key stakeholders to assist in client account maintenance.
• Remediate complex insurance situations
• Cross flow pertinent information with applicable team members within the Organization
• Support Team Supervisor on miscellaneous projects.
• Assist auditors by answering questions and providing requested information
• Handle incoming calls to the local phone number, to include voicemail.
• Track local inventory.
• Service walk-in customers with supply needs.
• Transmit received documentation, to include physical correspondence, via scan, fax, email and/or phone, to the appropriate personnel.
• Complete Annual and Quarterly compliance office checklist.
• Assist auditors by answering questions, providing information and office tour when requested.
• Keep local office and warehouse/inventory professional and neat

 

Qualifications/Education:

• Must have a high school diploma, college degree preferred, not required.
• Six months to one-year related experience and/or training; or equivalent combination of education and experience.
• Strong attention to detail and accuracy
• Problem-solving and critical thinking skills
• Effective written and oral communication
• Ability to work independently with applicable direction
• Flexible and adaptable to change in environment and industry
• Work with integrity, upholding organizational values and Code of Ethics
• Clear reasoning on prioritizing multiple tasks and satisfactory organizational skills
• Establish and maintain effective working relationships with clients of 180 Medical, insurance companies, and staff
• Sufficient understanding and ability to effectively operate a computer, navigate through software applications, and utilize various digital tools and resources
• Typing: 50 wpm (adjusted) highly recommended

Physical Demands

• Regularly required to sit, stand, walk, and occasionally bend and move about the office or workspace.
• Infrequent light physical effort required.
• Occasional lifting under 10 lbs.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Working Conditions

• Work performed in an office environment,

 

Beware of scams online or from individuals claiming to represent Convatec

A formal recruitment process is required for all our opportunities prior to any offer of employment. This will include an interview confirmed by an official Convatec email address.

If you receive a suspicious approach over social media, text message, email or phone call about recruitment at Convatec, do not disclose any personal information or pay any fees whatsoever. If you’re unsure, please contact us at [email protected].

Equal opportunities

Convatec provides equal employment opportunities for all current employees and applicants for employment. This policy means that no one will be discriminated against because of race, religion, creed, color, national origin, nationality, citizenship, ancestry, sex, age, marital status, physical or mental disability, affectional or sexual orientation, gender identity, military or veteran status, genetic predisposing characteristics or any other basis prohibited by law.

Notice to Agency and Search Firm Representatives

Convatec is not accepting unsolicited resumes from agencies and/or search firms for this job posting. Resumes submitted to any Convatec employee by a third party agency and/or search firm without a valid written and signed search agreement, will become the sole property of Convatec. No fee will be paid if a candidate is hired for this position as a result of an unsolicited agency or search firm referral. Thank you.

Already a Convatec employee?

If you are an active employee at Convatec, please do not apply here. Go to the Career Worklet on your Workday home page and View "Convatec Internal Career Site - Find Jobs". Thank you!