Senior Analyst in Insurance Product Development at Verisk shaping compliance and product quality. Collaborate across lines of business and drive technical innovation in insurance programs.
OC
Hybrid Insurance Appeals Representative
Posted 11 hours ago
About the role
- Insurance Appeals Representative at Overlake Medical Centers handling denied medical claims and acting as an intermediary between providers and insurers. Critical role in ensuring payment and communication flow.
Responsibilities
- Responsible for timely follow up on denied/outstanding claims ensuring payments for medical services are received in a timely manner.
- Function as an intermediary between healthcare providers, clients and health insurance companies.
Requirements
- High school diploma or GED required.
- Minimum of two years current experience in medical insurance for payers or government programs is required.
- Previous insurance collections experience desired.
- Physician billing experience preferred.
- Strong written and verbal communication skills, along with high attention to details and strong organization skills are critical for success.
- Must demonstrate a working knowledge of ICD-10, CPT, HCPC codes, and HIPAA.
- Working knowledge of business and communication software such as MS Office, medical software programs, and general business office equipment (copier, printer, fax , and scanner).
- Basic mathematical skills.
- Ability to understand medical/surgical terminology.
- Must reside in Washington state and attend in person meetings as required.
Benefits
- Medical insurance premiums as low as $0 per month.
- Many Overlake services covered at 100%.
- Tuition reimbursement up to $10,000 per year.
- Generous retirement plan matching starting at 5% and increasing to 7% after five years with immediate vesting.
- Pre-tax and Roth after tax retirement savings plans.
- An expanded Employee Assistance Program.
- A caregiver support program to help with everything from childcare to eldercare.
- Free parking and Orca transit passes.
Job title
Job type
Experience level
Salary
Degree requirement
Location requirements
Vice President leading marketing strategies and initiatives at Desjardins Group's property and casualty insurance sector. Fostering transformation and growth through innovative marketing approaches and analytics.
Insurance Specialist managing global insurance programs at ANDRITZ in Vienna. Negotiating insurance solutions and collaborating with local and global teams.
ESG Assurance Assessor delivering assurance services to multinational clients in sustainability assurance. Supporting Project Managers in GHG/ESG verification and contributing to high - quality assessments.
Articling Student providing legal support for litigation processes at TD Insurance. Responsibilities include preparing legal documents, legal research, and assisting lawyers in various stages of lawsuits.
Senior Reinsurance Analyst managing complex reinsurance accounting activities at West Bend. Leading teams and collaborating with finance and actuarial stakeholders in a hybrid work environment.
Insurance Coordinator exploring and recommending financial assistance options for kidney dialysis patients at Fresenius Medical Care. Engaging with patients across clinics to educate on insurance options and ensure support.
Senior Associate handling complex insurance coverage litigation at Clyde & Co in Dallas. Analyzing policies and providing legal advice while collaborating with clients and opposing counsel.
Litigation Associate handling insurance coverage litigation with clients and counsel in Seattle. Analyzing policies, conducting research, and managing legal correspondence regarding coverage matters.
Automotive Claims Specialist resolving claims for Italian - speaking customers in Porto, Portugal. Engaging in team collaboration and ensuring quality standards in a dynamic environment.