Claims Associate Representative

2 weeks ago


Atlanta, United States PSG Global Solutions Full time
Job DescriptionJob DescriptionThe Opportunity
Description

We're looking for a Claims Associate Representative, working in the Healthcare Systems & Services industry in Atlanta, Georgia, United States.

  • Ensure a complete review of outstanding accounts receivable with a strongconcentration in revenue cycle management.
  • Research/rectify third party denials/edits, requests forinformation and other related correspondence.
  • Process a variety of third-party Administrator (TPA)payments.
  • Learn different claim platforms withineviCore and client claims platforms when necessary.
  • Analyze and clear payment variances.
  • Verify patients' eligibility, coverage, and benefits andidentify authorization requirements relates to working aged AR.
  • Follow-up on outstanding account balances 30-days fromthe date of service in accordance with client and organizational protocol withan emphasis on maximizing client satisfaction and provider profitability.
  • Process timely premium payments to providers.
  • Research and answer accounts receivable discrepancies.
  • Monitor payer responses, and other software as necessaryto ensure prompt payment.
Our Client

Our client provides outsourcing, staffing, consulting andworkforce solutions. Hiring for Engineering,Finance and Accounting, Healthcare, Human Resources, IT, Legal, Life Sciences, Manufacturingand Logistics, Sales and Marketing and Administrative roles. For 60 years.Via 5,000 offices in 39 countries.Matching smart people withgreat jobs. Putting to worknearly 700,000 employees worldwide. Helping people like you achieve your potential. Usinginnovative technologies and passion for people to provide you the bestexperience possible. Every single day. Let this be your day.Put their expertise to work for you.You deserve it

Experience Required for Your Success

  • 2-4 years claims handling and accounts receivable experience in the healthcare industry.
  • In-depth knowledge of accounts receivableand related functions
  • Proficient in Microsoft Office Products (Word, Outlook,Excel)
  • Ability to work both independently and collaboratively with ateam
  • Highly oriented to detail, planning and organizing skills
  • Ability to work in a fast-paced environment
  • Time management and documentation skills
  • Ability to perform basic mathematics calculations
  • Exceptional reconciliation, analytic skills, and theability to interpret EOBs/EOPs
  • A high level of accuracy and attention to detail and havea dedicated approach to work


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