Claims Processor

3 weeks ago

Doylestown, United States Doylestown Health Full time
Job Description:
  • PURPOSE OF JOB : Process electronic and paper claims for patient accounts from pre-bill to final bill submission to insurance carriers.
  • ESSENTIAL FUNCTIONS :
1. Prepare and process electronic and paper claims for submission to insurance carriers.
  • Review, research, edit and resolve all claim rejections.
  • Competent use of departmental information systems.
  • Process secondary claims to insurance carriers.
5. Process statements for accounts with self-pay balances.

6. Report claim/billing issues to Manager.

Job Qualifications:
V. QUALIFICATIONS :
  • Education: High School or equivalent required
  • Experience: 1 year healthcare electronic billing required
1 year Customer service experience preferred

1 year PC experience utilizing windows technology required.
  • Other Skills: Ability to negotiate and problem solve independently
Knowledge of medical terminology

Ability to prioritize and handle multiple tasks

Ability to communicate clearly both verbally and in writing

Good math and analytical skills

Ability to type the minimum of 35 wpm

Ability to work productively as part of team
  • Training time required once hired: 5 to 7 months