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Claims Appeal Specialist

3 months ago


White Plains, United States Classic Westchester Full time
Job DescriptionJob Description

Large tristate multi-specialty group practice; including 36 providers, 24 offices and 21 hospitals, is looking for a highly motivated, organized, detail oriented individual for very high volume, fast paced billing office located in White Plains NY .

Responsibilities:

  • Working EOB denials
  • Contacting carrier on denied claims
  • Contacting carrier for post claim negotiation of fee
  • Prepare written claim appeals
  • Sending/following up on appeals to insurance carriers paper and electronically
  • Contacting insurance carriers on unpaid claims
  • Submitting corrected claims to insurance carriers when necessary
  • Maintain strict confidentiality

Experience:

  • Knowledge of claim appeal processes and guidelines
  • Knowledge of electronic appeal submissions
  • Knowledge of Microsoft Word and Excel
  • Knowledge of regulatory standards and compliance requirements
  • Medical billing experience

Qualifications:

  • Attention to detail and accuracy
  • Good verbal and written communication skills
  • Organizational skills
  • Problem analysis and problem solving skills
  • Team member
  • Able to work independently with minimal supervision
  • Time management skills