Remote Insurance Representative

PFS Group•Houston, TX

4d•Remote

About The Position

The Insurance Representative at PFS Group is responsible for managing client insurance accounts, ensuring customer satisfaction, and maintaining compliance with industry regulations. This role involves evaluating and processing insurance claims, providing expert advice to clients, and collaborating with other departments to optimize insurance services. PFS Group Nationwide Patient Account Management Firm. Based in Houston, Texas, we currently work with 32+ clients who operate more than 100 hospital facilities from small, rural community medical centers to metro population center health systems. Leaders in their respective markets and nationwide, our clients rely on our services to support their accounts receivable departments. PFS Group offers a friendly, caring work environment, with competitive benefits and compensation, (medical, dental, vision, short and long-term disability, life insurance, hospital indemnity, critical illness, accident insurance and a matching 401(k) and Zayzoon! If you are looking for a position in a dynamic, fast-paced organization with career growth opportunities, come grow with us! www.pfsgroup.org

Requirements

Strong understanding of insurance policies, coverage, and claims processes.
Excellent communication skills, both verbal and written, with the ability to explain complex information clearly.
Proficient in using insurance-related software and Microsoft Office Suite, including Word, Excel, and Outlook.
Strong analytical and problem-solving skills, with attention to detail.
Ability to work independently and manage time effectively in a fast-paced environment.
Demonstrated ability to handle sensitive and confidential information with discretion.
Strong interpersonal skills with the ability to build and maintain relationships with clients and team members.
High school diploma or equivalent is required.
An associate's or bachelor's degree in business administration, finance, or a related field is preferred.
Minimum of 2 years of experience in an insurance or healthcare-related field.
Experience in customer service or client-facing roles is highly desirable.
Familiarity with insurance claim processing and billing procedures is a plus.

Responsibilities

Evaluate and process insurance claims accurately and efficiently.
Provide expert advice and guidance to clients on insurance policies and coverage options.
Maintain up-to-date knowledge of industry regulations and ensure compliance.
Collaborate with other departments to improve insurance services and client satisfaction.
Develop and maintain strong relationships with clients to foster trust and loyalty.
Handle client inquiries and resolve any issues or concerns promptly.
Prepare and maintain detailed records of client interactions and transactions.
Participate in training and professional development opportunities to enhance skills and knowledge.
Assist in the development and implementation of insurance policies and procedures.