Customer Service

3 weeks ago


Clearwater, United States Lincare Holdings Full time
Job Description

  • Contacts payers for medical claims status, followup denials, or partial payments
  • Obtains payer requirements for timely adjudication of claims
  • Files claims with appropriate documentation attached
  • Pursues, maintains, and communicates medical coverage/guideline changes/updates
  • Processes all incoming and outgoing correspondence as assigned
  • Verifies, adjusts, and updates Accounts Receivable (A/R) according to correspondence received from insurance company
  • Helps facilitate interoffice communication on error and denial trends
  • Initiates the review/appeals process on disputed claims
  • Researches credit balances and initiates refunds as required
  • Documents all activity in customer's computer account
  • Answers Accounts Receivable phone inquiries
  • Works assigned RBCO reports
  • Available to assist other PACs with questions or collection needs
  • Acts as liaison between staff and management
#CC

Qualifications
  • High School Diploma or General Education Degree (GED) required
  • Past performance shows solid evidence of insurance qualifications and guidelines
  • Knowledge of telephone etiquette and adequate oral and written communication skills
  • Shows effective multitasking skills
  • Positive and cooperative attitude in working and communicating with individuals at all levels of the organization
  • Knowledge of medical field preferred


#CC

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