[Remote] Insurance Specialist - Audit Support

Note: The job is a remote job and is open to candidates in USA. Convatec is a global medical products and technologies company focused on chronic condition management. The Insurance Specialist - Audit Support will provide administrative support by verifying insurance eligibility, updating records, and assisting auditors, while maintaining effective communication with stakeholders. Responsibilities • Verify insurance eligibility and benefits utilizing online and phone resources • Determine documentation, authorization, and referral requirements through verification of benefits • Update insurance and document records within MedTrack, an internal database, to support client services and claim payment processes. • Interpret reference material to make informed decisions regarding insurance requirements • Communicate insurance eligibility and benefits to key stakeholders to assist in client account maintenance. • Remediate complex insurance situations • Cross flow pertinent information with applicable team members within the Organization • Support Team Supervisor on miscellaneous projects. • Assist auditors by answering questions and providing requested information • Handle incoming calls to the local phone number, to include voicemail. • Track local inventory. • Service walk-in customers with supply needs. • Transmit received documentation, to include physical correspondence, via scan, fax, email and/or phone, to the appropriate personnel. • Complete Annual and Quarterly compliance office checklist. • Assist auditors by answering questions, providing information and office tour when requested. • Keep local office and warehouse/inventory professional and neat Skills • Must have a high school diploma, college degree preferred, not required. • Six months to one-year related experience and/or training; or equivalent combination of education and experience. • Strong attention to detail and accuracy • Problem-solving and critical thinking skills • Effective written and oral communication • Ability to work independently with applicable direction • Flexible and adaptable to change in environment and industry • Work with integrity, upholding organizational values and Code of Ethics • Clear reasoning on prioritizing multiple tasks and satisfactory organizational skills • Establish and maintain effective working relationships with clients of 180 Medical, insurance companies, and staff • Sufficient understanding and ability to effectively operate a computer, navigate through software applications, and utilize various digital tools and resources • Typing: 50 wpm (adjusted) highly recommended Company Overview • ConvaTec specializes in the development, manufacture, distribution of single-use devices to hospitals and healthcare sectors. It is a sub-organization of The Amcare™ Group. It was founded in 1978, and is headquartered in Reading, Reading, GBR, with a workforce of 5001-10000 employees. Its website is https://www.convatecgroup.com. Apply Now Apply Now