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16 days old

Insurance Specialist

Kelly Services
Franklin, TN 37065
**At Kelly** **** **Professional & Industrial, were passionate about helping you find a job that works for you. How about this one?** Were seeking an **Insurance Specialist** work at a medical care company in Franklin, TN. With us, its all about finding the job thats just right. **Temporary position. Role is remote however they must be located within an hour and a half from the Franklin, TN.**


**Pay Rate:** $17.50-18.00 per hour


**Hours:** Monday-Friday 9am-6:30pm


**Whats a typical day as an Insurance Specialist? Youll:**


+ Review, verify, and process orders in the pharmacy management systems work queue.

+ Serves as a resource to patients, dialysis facility personnel, and other employees for insurance coverage and pharmacy benefit related issues.


**Responsibilities:**


+ Verifies insurance coverage by phone, online or through E1 (electronic system) transactions for new patients and/or changes in coverage.

+ Always maintains confidentiality of information.

+ Assists patients with understanding their pharmacy benefits and available resources.

+ Educates patients regarding availability of alternative insurance options, such as providing Medicare part D assistance and education.

+ Assists when insurance coverage changes between companies or to Medicare, and/or refers patients to a social worker.

+ Answers patients questions regarding insurance coverage.

+ Provides contact center customer service support related to insurance inquiries.

+ Refers escalated questions/situations to supervisor or appropriate department (such as Billing to address a Billing error), or if a patient wants to opt out of the program.

+ Input and update insurance information related to pharmacy benefits (i.e Medicare Part D, Commercial Plans and State Medicaid, etc)

+ Ensure Pharmacy claim rejections are resolved to allow for timely shipping of medications.

+ Contact payers to gather benefit coverage information and resolve third party rejections on claims.

+ Works a backlog of rejected claims for timely resubmission

+ Demonstrates knowledge and understanding of insurance billing requirements.

+ Works to meet the agreed upon service level agreements and or key performance indicators

+ Monitors all patients insurance information to ensure that it is updated and accurate. Addresses any identified anomalies or discrepancies, research and answers questions as needed.

+ Collaborates and communicates with Fresenius Kidney Care clinic partners.

+ Completes work within authorized time to assure compliance with departmental standards.

+ Review and comply with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations.

+ Assist with various projects as assigned by direct supervisor.

+ Other duties as assigned.


**Requirements:**


+ Must be located within an hour and a half from the Franklin, TN

+ High School Diploma required

+ Prior courses in insurance billing and data processing preferred.

+ Health Insurance Certification preferred.

+ 1 2 years customer service experience.

+ 1-2 Health Insurance/ Payer Claims Experience is a plus.

+ Excellent customer service, communication, organizational and interpersonal skills required.

+ Demonstrates critical thinking and problem-solving skills.

+ Demonstrates analytical thinking skills.

+ Detail oriented with the ability to enter information accurately on paper and into a database system.

+ Proficient with PCs and Microsoft Office applications.

+ Develops a working knowledge of pharmacy dispensing regulations, pharmacy data systems, and pharmacy billing practices and policies.

+ Develops a working knowledge of standard medical abbreviations and medical terminology.


**What happens next**

Once you apply, youll proceed to next steps if your skills and experience look like a good fit. But dont worryeven if this position doesnt work out, youre still in our network. That means all our recruiters will have access to your profile, expanding your opportunities even more.


Helping you discover whats next in your career is what were all about, so lets get to work. Apply to be **an Insurance Specialist** today!


**Why Kelly** **** **?**


Youre looking to keep your career moving onward and upward, and were here to help you do just that. Our financial staffing experts will connect you with premier companies for opportunities where you can learn, grow, and thrive. Jobs that fit your skills and experience, and most importantly, fit right on your path of where you want to go in in your career. It all adds up.


**About Kelly** ****


At Kelly, were always thinking about whats next and advising job seekers on new ways of working to reach their full potential. In fact, were a leading advocate for temporary/nontraditional workstyles, because we believe they allow flexibility and tremendous growth opportunities that enable a better way to work and live (plus, did we mention we provide a ton of benefits ?). Connecting great people with great companies is what we do best, and our employment opportunities span a wide variety of workstyles, skill levels, and industries around the world.


Kelly is an equal opportunity employer committed to employing a diverse workforce and providing accommodations for people with disabilities in all parts of the hiring process as required under its Employment Accommodation Policy. Kelly will work with applicants to meet accommodation needs that are made known to Kelly in advance.
Posted: 2021-11-12 Expires: 2021-12-13

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Insurance Specialist

Kelly Services
Franklin, TN 37065

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