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Insurance Specialist
4A580A4AD8EA62204895312A9C8549BE · Hiveley Corp - Inkster, MI 48141; 30000 Hiveley, Inkster, MI, 48141, USA · Active · Paycom ATS
Job facts
| Field | Value |
|---|---|
| Company | 4A580A4AD8EA62204895312A9C8549BE |
| Title | Insurance Specialist |
| Normalized title | - |
| Department / team | - |
| Location | Inkster, MI, United States |
| Work model | - |
| Employment type | Full Time |
| Salary | - |
| Status | active |
| ATS provider | Paycom ATS |
| Posted / first seen | 2026-05-15 / 2026-05-31 |
| Changed / last seen | 2026-05-31 / 2026-06-06 |
Related slices
| Page | What it contains | Open |
|---|---|---|
| Company jobs | Active postings from 4A580A4AD8EA62204895312A9C8549BE. | Open |
| Company breakdowns | Role, location, ATS, and work model facets for this company. | Open |
| ATS provider jobs | Active postings observed through Paycom ATS. | Open |
| Provider filtered search | The same provider as a filtered job collection. | Open |
| City jobs | Active postings in Inkster. | Open |
| Lifecycle events | Open, update, close, and reopen events for this posting. | Open |
| Original posting | Canonical source or apply URL captured from the ATS. | Open |
Linked records
| Company | 4A580A4AD8EA62204895312A9C8549BE |
| Source | 407860fb-990b-49f1-b79c-f3517704d07d |
| ATS provider | Paycom ATS |
Description
Description
POSITION SUMMARY:
The Insurance Specialist is responsible for managing patient insurance processes to ensure accurate coverage verification, claims processing, reimbursement, and compliance. This role serves as a key liaison between patients, providers, and payers while supporting revenue cycle operations, resolving billing issues, and maintaining accurate insurance records.
EDUCATION AND EXPERIENCE:
• Associate degree required in Healthcare Administration, Medical Billing & Coding, Business Administration, or related field, bachelor’s degree preferred.
• Minimum of 2 years of experience in healthcare insurance, billing, or revenue cycle experience required.
• Direct experience with Medicaid billing and insurance verification is required.
• Experience with managed care, commercial insurance, provider credentialing, and denial management required.
• Must have knowledge of ICD-10/CPT coding, payer guidelines, and electronic billing systems
PRINCIPAL DUTIES AND RESPONSIBILITIES:
Policy and Patient Support:
• Explain insurance coverage, benefits, and policy terms to patients
• Assist patients with questions regarding insurance, billing, and payment options
• Set up payment arrangements for self-pay patients and provide financial guidance
• Serve as a liaison between patients, providers, and insurance companies to resolve issues
Insurance Verification and Enrollment:
• Verify patient eligibility, benefits, and authorization requirements prior to services
• Maintain and update patient insurance information in the electronic health record
• Ensure all providers are linked to appropriate payer contracts for accurate billing
• Support payer enrollment activities, including credentialing, re-attestation, and updates
• Maintain accurate tracking of provider enrollment status across all contracted health plans
Claims Management and Billing Support
• Review, submit, and track insurance claims to ensure timely reimbursement
• Post payments and adjustments from payers to patient accounts
• Monitor claims for errors, rejections, or delays and take corrective action
• Coordinate and process claim appeals and denial management activities
• Work credit balance accounts and ensure appropriate resolution
• Denial trend tracking and reporting
Revenue and Cycle Support
• Collaborate with insurance payors to resolve denials, underpayments, and billing discrepancies
• Identify and resolve patient billing questions and account issues
• Maintain records of billing, claims, payments, and settlements
Compliance and Regulatory Requirements
• Ensure all processes comply with HIPAA and applicable federal, state, and payer regulations
• Maintain confidentiality of patient and financial information
• Monitor payer requirements and ensure adherence to contract terms and billing guidelines
Administrative and Data Management
• Maintain accurate and up-to-date records in billing and insurance systems
• Process renewals, updates, and documentation with strong attention to detail
• Track and report on claim status, denials, and reimbursement trends
• Assist with audits by providing documentation and ensuring data accuracy
Credentialing and Payer Relations
• Assist with front-end credentialing and privileging providers and clinic locations
• Communicate with payers, underwriters, and provider offices to resolve enrollment and billing issues
• Monitor and maintain insurance contracts and payer relationships
• Ensure timely completion of credentialing and enrollment to prevent billing delays Quality and Process Improvements
• Identify trends in denials, billing errors, or delays and recommend process improvements
• Participate in workflow improvements to enhance efficiency and accuracy
• Support implementation of best practices in billing, coding, and insurance processes Core Competencies
• Knowledge of medical billing, insurance processes, and revenue cycle operations
• Understanding of payer guidelines, authorizations, and claims adjudication
• Strong attention to detail and accuracy
• Problem-solving and analytical skills
• Effective communication and customer service skills
• Ability to manage multiple priorities in a fast-paced environment
LICENSING AND OTHER REQUIREMENTS:
• Valid driver’s license and / or reliable transportation.
Starfish Family Services is an Equal Opportunity Employer
EOE/M/F/D/V
Full job record
| Job ID | cc68c374cd56a773a1f61d75cd01c5500cb6340e |
| Org ID | 3aca2335-479a-4dd4-a997-a76b23a15cb3 |
| Source ID | 407860fb-990b-49f1-b79c-f3517704d07d |
| Board ID | 407860fb-990b-49f1-b79c-f3517704d07d |
| Provider | paycom |
| Provider Job Key | 214093 |
| Title | Insurance Specialist |
| Normalized Title | — |
| Status | active |
| Active | yes |
| Location Text | Hiveley Corp - Inkster, MI 48141; 30000 Hiveley, Inkster, MI, 48141, USA |
| Department | — |
| Team | — |
| Employment Type | full_time |
| Workplace Type | — |
| Remote Policy | — |
| Country | United States |
| Region | MI |
| City | Inkster |
| Salary Raw | Description POSITION SUMMARY: The Insurance Specialist is responsible for managing patient insurance processes to ensure accurate coverage verification, claims processing, reimbursement, and compliance. This role serves as a key liaison between patients, providers, and payers while supporting revenue cycle operations, resolving billing issues, and maintaining accurate insurance records. EDUCATION AND EXPERIENCE: • Associate degree required in Healthcare Administration, Medical Billing & Coding, Business Administration, or related field, bachelor’s degree preferred. • Minimum of 2 years of experience in healthcare insurance, billing, or revenue cycle experience required. • Direct experience with Medicaid billing and insurance verification is required. • Experience with managed care, commercial insurance, provider credentialing, and denial management required. • Must have knowledge of ICD-10/CPT coding, payer guidelines, and electronic billing systems PRINCIPAL DUTIES AND RESPONSIBILITIES: Policy and Patient Support: • Explain insurance coverage, benefits, and policy terms to patients • Assist patients with questions regarding insurance, billing, and payment options • Set up payment arrangements for self-pay patients and provide financial guidance • Serve as a liaison between patients, providers, and insurance companies to resolve issues Insurance Verification and Enrollment: • Verify patient eligibility, benefits, and authorization requirements prior to services • Maintain and update patient insurance information in the electronic health record • Ensure all providers are linked to appropriate payer contracts for accurate billing • Support payer enrollment activities, including credentialing, re-attestation, and updates • Maintain accurate tracking of provider enrollment status across all contracted health plans Claims Management and Billing Support • Review, submit, and track insurance claims to ensure timely reimbursement • Post payments and adjustments from payers to patient accounts • Monitor claims for errors, rejections, or delays and take corrective action • Coordinate and process claim appeals and denial management activities • Work credit balance accounts and ensure appropriate resolution • Denial trend tracking and reporting Revenue and Cycle Support • Collaborate with insurance payors to resolve denials, underpayments, and billing discrepancies • Identify and resolve patient billing questions and account issues • Maintain records of billing, claims, payments, and settlements Compliance and Regulatory Requirements • Ensure all processes comply with HIPAA and applicable federal, state, and payer regulations • Maintain confidentiality of patient and financial information • Monitor payer requirements and ensure adherence to contract terms and billing guidelines Administrative and Data Management • Maintain accurate and up-to-date records in billing and insurance systems • Process renewals, updates, and documentation with strong attention to detail • Track and report on claim status, denials, and reimbursement trends • Assist with audits by providing documentation and ensuring data accuracy Credentialing and Payer Relations • Assist with front-end credentialing and privileging providers and clinic locations • Communicate with payers, underwriters, and provider offices to resolve enrollment and billing issues • Monitor and maintain insurance contracts and payer relationships • Ensure timely completion of credentialing and enrollment to prevent billing delays Quality and Process Improvements • Identify trends in denials, billing errors, or delays and recommend process improvements • Participate in workflow improvements to enhance efficiency and accuracy • Support implementation of best practices in billing, coding, and insurance processes Core Competencies • Knowledge of medical billing, insurance processes, and revenue cycle operations • Understanding of payer guidelines, authorizations, and claims adjudication • Strong attention to detail and accuracy • Problem-solving and analytical skills • Effective communication and customer service skills • Ability to manage multiple priorities in a fast-paced environment LICENSING AND OTHER REQUIREMENTS: • Valid driver’s license and / or reliable transportation. Starfish Family Services is an Equal Opportunity Employer EOE/M/F/D/V |
| Salary Min | — |
| Salary Max | — |
| Salary Currency | — |
| Salary Period | — |
| Source URL | https://www.paycomonline.net/v4/ats/web.php/jobs/ViewJobDetails?job=214093&clientkey=4A580A4AD8EA62204895312A9C8549BE |
| Apply URL | https://www.paycomonline.net/v4/ats/web.php/jobs/ViewJobDetails?job=214093&clientkey=4A580A4AD8EA62204895312A9C8549BE |
| First Seen At | 2026-05-31 19:05:43Z |
| Last Seen At | 2026-06-06 20:01:12Z |
| Last Checked At | 2026-06-06 20:01:12Z |
| Last Changed At | 2026-05-31 19:05:43Z |
| Inactive At | — |
| Source Posted At | 2026-05-15 00:00:00Z |
| Source Updated At | — |
| Raw Payload Uri | s3://job-postings-prod-raw-590183727216/raw/provider=paycom/board=4A580A4AD8EA62204895312A9C8549BE/date=2026-06-06/2026-06-06T20-01-09-527Z-ecd31cce536aba856dec17cc8f11bc3de46ebe91119043f551ecbc7db904a9bf.json |
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