Now Hiring! Insurance Claims Specialist

Status: Non-Exempt

Schedule: Full Time

Reports to: Director of IAP

Primary Job Responsibilities: 

• Process insurance-related documentation accurately and timely and consistent with program guidelines
• Verify vendor and payment details with insurance companies
• Process new enrollee and closure requests
• Maintain database to accurately track and manage payments and client data
• Interact with Case Managers, clients, insurance companies as needed
• Maintain documentation in client charts and database of contacts with clients, Case Managers, and insurance companies
• Ensure clients who benefit from assistance have uninterrupted coverage
• Process premium, copay, and coinsurance payments in an accurate and timely manner
• Actively participate in team meetings to ensure a broad understanding of program processes and facilitate process improvement
• Actively participate in cross-training activities to facilitate understanding of departmental processes

Required Qualifications/Skills:

• Minimum 2 years’ experience in claims processing, insurance billing, benefits administration
• Strong problem recognition and resolution skills
• Ability to work accurately in a fast-paced environment
• High level of proficiency with Microsoft Office software (Word, Excel)
• Ability to work with sensitive information and maintain confidentiality
• Ability to work effectively as part of a team and independently
• Demonstrated ability to cultivate and maintain positive working relationships
• Superior verbal, written, customer service and analytical skills
• Valid Tennessee Driver’s License and automobile liability insurance

Preferred Qualifications/Skills:

• Undergraduate degree and/or some college coursework
• Knowledge of Ryan White programs
• Experience working with clients in HIV/AIDS social services setting
• Knowledge of healthcare environment

Nashville CARES is an equal opportunity employer committed to providing an inclusive and welcoming environment for all members of our staff, volunteers and clients. We respect equality and inclusivity for all people and will not discriminate on the basis of race, color, gender, national origin, age, religion, creed, disability, veteran status, sexual orientation or gender identity. We respect, value and celebrate the unique attributes, characteristics and perspectives that make each person who they are.

The above information has been designed to indicate the general nature and level of work performed by an employee in this position. It is not to be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications of employees assigned to this job.