Insurance Claims Analyst – Smartcare – Spooner, WI

Insurance Claims Analyst – Smartcare – Spooner, WI.

  • Currently, we’re only set up to hire in Utah and Wisconsin only. If you would be perfect for this position but don’t live in either of these states, please include a cover letter with your application letting us know why we should become legal in your state. 🙂


Position: Insurance Claims Analyst

Hours: 30-40 per week

Hourly: $17 per hour

Location: Remote


About Smartcare

At Smartcare (www.smartcare.io), we build software that is transforming how hearing aid centers all over the world operate and deliver patient care. Our headquarters are located in St.George Utah, with part of our insurance team housed in various locations around Wisconsin. We’re a small team right now, but we’re a team of genuinely kind people who work hard to keep our customers, and our employees, happy.

We try hard to foster a culture of inclusion, respect, and open communication. Your thoughts and ideas will matter; your work will be noticed.


About the Claims Analyst Role

As a Claims Analyst, you will be responsible for monitoring the totality of medical insurance claims, starting with the initial submission through final reimbursement. In addition, you will review insurance claims for accuracy and completeness while maintaining updated records and required documentation for patient accounts.

Some experience in the insurance industry is a must. Experience in customer service or administrative work will also come in handy as we train you in our insurance procedures.


Your Day-to-Day Tasks

  • Conduct claim status checks every 15 calendar days
  • Reading and interpreting remittance advices and EOBs
  • Close claims within our internal record spreadsheet
  • Evaluate and recognize when claims require follow-up, further investigation, and documentation as necessary
  • Work closely with your team lead to ensure complete efficiency

Your Qualifications and Skills

  • Basic knowledge of the medical insurance process as well as the terminology associated with it
  • A working knowledge of cost shares, including copays, deductibles, and co-insurance
  • Excellent written and verbal communication skills
  • The ability to interpret data/information as well as basic mathematical skills
  • Adept in technology with strong record-keeping and data entry/ keyboarding abilities
  • Comfortable working in large spreadsheets and interpreting the data
  • Ability to navigate the internet while utilizing multiple web portals to find information

EXPERIENCE

Some experience is required, but because of the nature of the job, that experience can vary widely. A background as medical office staff or any position within the insurance industry is strongly encouraged.



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