Insurance Executive / Insurance Verification Associate

The Role:

• Claims appeal and resolution experience
• Perform completion of claims to payers
• Submit billing data to the appropriate insurance providers
• Analysis and resolution of denied claims/cases. Identify and resolve billing issues
• Monitor aging to ensure timely follow-up of claims resolution, reduction of future denials, ensuring accurate payment and escalation of issues to management as identified
• Conduct insurance re-verification as needed through various tools and initiate billings to a new payer or reprocess the claim accordingly
• Must have the ability to multitask and manage time effectively
• Excellent written and verbal communication skills
• Outstanding problem-solving and organizational abilities

1. Minimum 2 years of experience in insurance verification.
2. Proficient in insurance claim processing.
3. Strong English Spoken, written communication skills.
4. Must know the basics of Insurance, assessment of loss/claims & risk evaluations
5. Must have the analytical skills to evaluate the party on fault.