Insurance Reviewer II

Job not on LinkedIn

🔥 24 minutes ago

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $18 - $26 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔒 Insurance

👻 Ghost score 2%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Recruit CRM

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2017

👥 HR Tech

🤖 Artificial Intelligence

☁️ SaaS

HR Tech • Artificial Intelligence • SaaS

Recruit CRM is an easy-to-use, AI-powered recruitment software empowering recruitment agencies across 100+ countries. It simplifies workflows, enhances precision, and secures top talent quickly through automation features like resume parsing, candidate matching, and workflow customizations. Designed for ease of use, it integrates with numerous applications and offers comprehensive analytics to support recruitment processes globally.

📋 Description

• Complete assigned tasks to secure payment from third-party payors • Report observed trends and issues to management • Handle phone calls and messages for the designated insurance area • Update registration screens as needed • Review and process insurance vouchers, rebill unpaid charges, and process adjustments • Process secondary billing • Distribute insurance mail and respond to audits, inquiries, and information requests • Process invoice corrections and insurance reviews • Analyze and process front-end and back-end system edits • Analyze and process claims denied through the clearinghouse • Investigate and process claims in insurance work files and reports • Report incidents to the immediate Supervisor or Manager • Assist with special projects and assignments • Provide excellent customer service and comply with Springfield Clinic policies

🎯 Requirements

• High School graduate or GED required • Previous experience in a medical billing office required • Working knowledge of medical terminology preferred • Working knowledge of CPT and ICD-9 coding preferred • Computer, typing and calculator skills required • Must be able to work individually or on a team • Confidentiality required • Must attend in-services and training relevant to position • Comply with OSHA and Springfield Clinic training requirements • HIPAA1 privacy level

🏖️ Benefits

• Comprehensive benefits offered by Springfield Clinic (details provided at https://www.springfieldclinic.com/benefits)