Medical Insurance Claims Specialist
Robert Half Accountemps
Description We are looking for a meticulous Medical Insurance Claims Specialist to join our team based in Bedford Park, Illinois. As a Medical Insurance Claims Specialist, you will play a pivotal role in our healthcare team by managing insurance coverage related issues, verifying benefits in accordance with regulatory guidelines, and acting as a resource personnel to patients and staff. You will also have the responsibility of ensuring clean claim submission and providing accurate estimates to patients. This role offers a contract to permanent employment opportunity.
Responsibilities
• Manage and investigate insurance coverage related issues and coordinate with team members for necessary follow-ups
• Act as a resource for patients, staff, and management, providing necessary guidance and support
• Maintain updated information related to benefits and coverage, ensuring compliance with internal policies and procedures
• Verify benefits in accordance with regulatory guidelines and internal policies
• Prepare necessary reports for team members and management, facilitating informed decision-making
• Communicate effectively with patients, providing them with accurate estimates and discussing payment options
• Alert patients and staff about any coverage changes or insurance policy issues that might affect reimbursement or patient responsibility
• Obtain necessary documentation such as additional member information, letters of medical necessity, authorizations, referrals etc., to secure reimbursement
• Ensure clean claim submission by resolving issues relating to insurance verification that may negatively impact reimbursement
• Conduct audits and maintain track of accounts due for insurance verification, authorizations, referrals, and date of service collections. Requirements • Proven experience in Accounts Receivable (AR) within a healthcare setting
• Familiarity with the Appeals process, preferably within a medical insurance context
• Proficiency in handling Billing Functions, with a focus on accuracy and timeliness
• Demonstrated expertise in Claim Administration, ensuring all claims are processed effectively
• Knowledge of Collection Processes, with the ability to negotiate and resolve payment issues
• Exceptional Customer Service skills, with a commitment to providing a high standard of care and support to patients and their families.
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) .
Confirm your E-mail: Send Email
All Jobs from Robert Half Accountemps