Insurance Support Services Representative

1 week ago

Durham, North Carolina, United Kingdom MED-EL Corporation Full time £40,000 - £60,000 per year

Insurance Support Services Representative
Full-Time
Hybrid
Location: Durham, NC
 
About the Company:
 
MED-EL Corporation is a global leader in hearing implant technology and research. While headquarters resides in Austria, our US branch is based in Durham, North Carolina, at Research Triangle Park. We pride ourselves in being innovators through and through. We bring people the joy of sound through our extensive portfolio of hearing technology and consistently pursue product and process improvement. MED-EL hearing implant systems combine the latest scientific advances, engineering, and manufacturing techniques to offer performance, safety, and reliability. With people at the epicenter of our research and technology, we relentlessly pursue connection—connection to sound, connection to each other, connection to possibility.  Here at MED-EL, we are proud to offer a diverse, team-focused culture driven by our passion to support candidates, recipients, their families, and clinical partners.
 
Our Mission: Delivering leading-edge technology to restore hearing and empower connection.
 
About the Role:
 
We are actively seeking an Insurance Support Services Representative with outstanding customer service skills and a background in healthcare insurance reimbursement to provide professional service to our patients and customers.  The Insurance Support Services Representative will work closely with team members to ensure patient insurance orders are processed timely and accurately.
 
Primary Responsibilities:
  • Provide direct insurance support for customers, patients, and medical professionals on behalf of and for Spanish and English-speaking customers.
  • Answer calls from physician offices, hospitals, and patients using exemplary customer service skills.
  • Accurately enter required information into computer databases and other insurance related data entry to ensure proper and timely billing of claims.
  • Follow established procedures for submitting authorization and/or verification of eligibility for all requested items, as well as determine member benefit coverage for requested items.
  • Call patients and/or providers back with information regarding authorization and any funds due
  • Maintain patient confidentiality as defined by state, federal and company regulations.
  • Establish effective rapport and maintain cooperative working relationships with other employees, professional support service staff, customers, clients, patients, families and physicians or other healthcare providers.
  • Actively support departmental and corporate strategic plans and ensure successful implementation.
  • Responsible to assist accounts receivable staff in researching unpaid claims related to eligibility, prior authorization and other verification related denials.
  • Perform day to day administrative functions and general office duties related to the reimbursement department.
  • Practices confidentiality and privacy protocols in accordance with company policies and HIPAA requirements
  • Exercises problem-solving and conflict resolution skills when handling patient complaints and follows company procedures when handling complaints as needed.
Position Qualifications:
  • High School diploma required.
  • Minimum of 2 years in a healthcare insurance or reimbursement role
  • Basic medical billing knowledge.
  • Working knowledge of medical insurance verification and authorizations.
  • Experience with CPT, HCPCS, and ICD coding.
  • Proficient with Excel, Word, and Outlook
  • Located within - or willing to relocate to – Durham, NC
  • Positive attitude, self-motivated, and collaborative professional team spirit a must
  • Ability to work 9-5:30 M-F 
 
*** You are required onsite for the first days for training purposes. Once your training is complete, you will be eligible to be hybrid if you choose, working every other Tuesday - Friday remote.
 
What We Offer:
 
We know that benefits are important to you, and we offer a robust benefits package including:
  • Full medical, dental, and optional vision coverage effective on the first day of the month following 30 days of active service.
  • Health Savings Account
  • Short term and long-term disability paid by the company.
  • Company paid life insurance with an option to purchase additional coverage.
  • FSA Dependent Care 
  • Pet Insurance
  • Critical Illness
  • Accident Insurance
  • PTO – 20 days annual that is accrued each pay period.  Plus 40 hours Medical/Sick leave annual, prorated from hire date and 9 holidays.
  • Employee Assistance Program
MED-EL Corporation is an Equal Opportunity/ Affirmative Action employer. We provide equal employment opportunities to all qualified employees and applicants without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, veteran status, disability or any other legally protected status. We prohibit discrimination in decisions concerning recruitment, hiring, compensation, benefits, training, termination, promotions, or any other condition of employment or career development.

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