Bedford Park, IL, 60499, USA
15 hours ago
Medical Insurance Claims Specialist
Description Working Relationships: As a representative of Magna Health Systems, all comments, attitudes, actions, and behaviors have a direct effect on the company’s image and perceptions of quality service. Interaction with patients, physicians, referral sources, guest, visitors, volunteer workers, co-workers, supervisors, vendors, etc. must be in a manner that is friendly, supportive, courteous, respectful, cooperative and professional. This behavior should promote and atmosphere of teamwork that is congruent with the facility’s standards and guidelines to promote positive relations. Essential Duties and Responsibilities: The duties listed below are intended to describe the general nature and level of work performed by employees in this position. They are not to be construed as an exclusive list of all job duties performed in this position. 1. Advises and consults with the team members and vendors concerning issues relating to insurance verification. 2. Investigates coverage related issues and arranges for follow-up with accounts needing attention from other members of the team or management. 3. Enters payer and benefit information to facilitate billing and clean claim submission. 4. Reviews and updates information related to benefits and coverage as necessary. 5. Prepares reports for the team members and management as necessary. 6. Acts as a resource personnel to patients, physician offices, facility staff, team members, and management. 7. Audits and keeps track of the accounts due for insurance verification, authorizations, referrals, and the date of service collections. 8. Communicates issues relating to insurance verification that may negatively impact reimbursement or clean claim submission. 9. Obtains necessary documentation such as additional member information, letters of medical necessity, letters of protection, authorizations, referrals etc. when required to secure reimbursement. 10. Verifies benefits in accordance to regulatory guidelines and internal policies and procedures. 11. Contacts payers for clarification and confirms validity of coverage when necessary. 12. Relates coverage, benefit, and up front amount due information to the patients in a timely fashion. 13. Provides accurate estimates and discusses payment options for the day of surgery collections with the patients. 14. Alerts patients, physician offices, facility staff, and management about any coverage changes or insurance policy issues that might negatively affect reimbursement or patient responsibility. 15. Strives to provide accurate and timely verification for cases scheduled at least two weeks out. The salary range for this position is $18 to $21/hr. Benefits available to contract/temporary professionals, include medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit Robert Half Benefits Website for more information. Requirements Accounts Receivable (AR), Appeals, Billing Functions, Claim Administration, Collection Processes, Customer Service Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles. Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more. All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information. © 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use (https://www.roberthalf.com/us/en/terms) .
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