Insurance Specialist

4 days ago

🤠 Texas – Remote

Although this job is listed in Texas, this company may be open to hiring remote in other states.

💵 $18 - $19 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔒 Insurance

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Advanced Diabetes Supply

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Advanced Diabetes Supply is a leading provider of diabetes-related products and services, specializing in continuous glucose monitors, insulin pumps, and diabetes testing supplies. Since its establishment in 2002, ADS has focused on delivering best-in-class customer service, ensuring easy access to essential diabetes supplies through streamlined ordering and insurance processes. By offering reliable delivery and exceptional support, ADS aims to be the nation's premier diabetes equipment supplier. The company partners with healthcare and insurance professionals to better serve patients.

501 - 1000 employees

⚕️ Healthcare Insurance

🛒 Retail

🧘 Wellness

📋 Description

• The Insurance Specialist is responsible for interpreting and verifying coverage for our patients. • Maintaining correct insurance information on patient accounts; as well as re-billing denials. • Conducting outbound calls to insurance companies and determining if patient will be serviced thru DME or pharmacy. • Pursuing prior authorizations as determined by health plan or medical group requirements. • Resolving all denials and processing appeals for all private insurances and some Medicare patients. • Achieving maximum reimbursement for services provided.

🎯 Requirements

• High School diploma or equivalent • Knowledge of insurance verification and/or authorization, billing and processing claims • Basic knowledge of billing guidelines and resources for Medicare and Private insurances • Basic knowledge of insurance portals; familiarity with a variety of medical and/or insurance terms or practices • Proficiency in basic math and business calculations • Working knowledge of computer/data entry with the ability to learn new systems • Basic level of MS Office proficiency

🏖️ Benefits

• Health, Dental & Vision options • FSA and HSA plan with Employer Contribution • Employer paid EAP • 401k with 4% Company Match • Discretionary Profit-Sharing Plan • Paid Time Off (PTO) Including 7 Paid Holidays and a Birthday Holiday • In-house Training Programs • A fun culture in a fast-growing organization!