inAssist Medical Claims Auditor

3 weeks ago

Franklin, United States inAssist Full time
Job DescriptionJob Description

Be a part of a rapidly growing and dynamic healthcare company

inAssist is a fast-growing company that occupies a unique niche in the market of healthcare claims processing by representing the patient, our client, in negotiating their medical bills. Our proprietary application software and Medical Claims Auditors / Personal Healthcare Advocates check every claim for our users to determine where the savings can be found - in denials, negotiating out of network claims, or coordination of benefits. We take the pain out of healthcare and return savings to consumers. Driven by our commitment to our clients, we pride ourselves in our ability to ensure our clients receive the best service possible.

Job Role:

· Review patient medical bills, correspondence, and Explanation of Benefits (EOBs) for accuracy

· Communicate with Insurance Companies and Providers to address any issues that are identified (e.g., appeal incorrectly denied claims, coordinate with providers to fix billing errors, negotiate with providers in the case of inappropriate billing)

· Communicate with clients via phone and email – respond to client requests in a timely and professional manner, go above and beyond to make sure concerns are addressed and medical bills and associated paperwork is no longer a worry

· Provide client support with benefit/health insurance questions

· Identify problems and inconsistencies by using management reports

· Summarize findings and make recommendations to resolve claims/billing issues

Job Requirements:

A background in medical billing or insurance claims administration (Medical Billing and Coding Specialists, and/or Health Insurance Claims Administrators strongly preferred)

  • 3+ years experience in Medical Billing and A/R follow up or Guild experience preferred
  • Extensive Explanation of Benefits (EOB) knowledge
  • Understanding of general Coordination of Benefit Rules, Guild experience, Benefit Analysis
  • Experience with out of network claims a plus
  • Knowledge of eligibility requirements and enrollment
  • Experience in overturning claim denials - ranging from simple solutions such as coding correction to more complex, involving submission of appeals and grievances
  • The desire to be part of a team of professionals that have fun while really making a difference to our clients
  • Proficient with Microsoft Office (Excel, Word, Powerpoint)
  • Ability to think outside the box with excellent time-management skills and deadline management
  • Problem solving skills that persist to a solution
  • Excellent organizational and scheduling skills
  • Ability to multi-task, while working with a sense of urgency
  • Ability to prioritize many coexisting projects
  • Self motivated / Self Starter
  • Reliable
  • Knowledge of CPT/ ICD- 9 and 10 is required. Medical Billing and / or Coding Certificate a plus
  • Excellent communication and customer service skills – must be able to communicate effectively with Clients, Insurance Companies, and Providers both in writing and over the phone
  • Strong interpersonal skills

Benefits you will enjoy when you join our team:

  • Extensive paid training
  • A supportive team environment
  • Advancement opportunities
  • Benefits, including medical, dental, vision, 401K and life insurance.
  • Generous PTO and paid Holidays
  • Part time and full time opportunities available.

Job Type: Full-time

Pay: $19.00 - $22.00 per hour

Experience:

  • Explanation of Benefits: 3 years (Preferred)
  • Medical Billing: 3 years (Preferred)
  • Out of Network: 2 years (Preferred)
  • Commercial Insurance: 3 years (Preferred)
Company DescriptionBe a part of a rapidly growing and dynamic healthcare company inAssist Healthcare Management Solutions / HealthLock is a fast-growing company that occupies a unique niche in the market of healthcare claims processing by representing the patient, our client, in negotiating their medical bills. Our proprietary application software and Medical Claims Auditors / Personal Healthcare Advocates check every claim for our users to determine where the savings can be found - in denials, negotiating out of network claims, or coordination of benefits. We take the pain out of healthcare and return savings to consumers. Driven by our commitment to our clients, we pride ourselves in our ability to ensure our clients receive the best service possible.Company DescriptionBe a part of a rapidly growing and dynamic healthcare company inAssist Healthcare Management Solutions / HealthLock is a fast-growing company that occupies a unique niche in the market of healthcare claims processing by representing the patient, our client, in negotiating their medical bills. Our proprietary application software and Medical Claims Auditors / Personal Healthcare Advocates check every claim for our users to determine where the savings can be found - in denials, negotiating out of network claims, or coordination of benefits. We take the pain out of healthcare and return savings to consumers. Driven by our commitment to our clients, we pride ourselves in our ability to ensure our clients receive the best service possible.

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