[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 neatSkills• 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 recommendedCompany Overview• ConvaTec specializes in the development, manufacture, distribution of single-use devices to hospitals and healthcare sectors.It is a sub-organization ofThe Amcare™ Group. It was founded in 1978, and is headquartered in Reading, Reading, GBR, with a workforce of 5001-10000 employees. Its website is Apply tot his job