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Medical Claims Specialist
2 months ago
Job Summary:
Provisional Staffing Services is seeking a skilled Medical Collections Specialist to join our team. As a Medical Collections Specialist, you will be responsible for the timely and accurate processing of medical claims and payments from various payers.
Key Responsibilities:
- Process and manage multi-specialty claims and payments from state and third-party payers.
- Analyze claim issues and identify opportunities for improvement.
- Monitor and review open accounts receivable, adjustments, refunds, and changes.
- Respond promptly to denial letters and requests for information.
- Maintain accurate and detailed notes and documentation related to open and pending claims.
- Utilize knowledge of medical terminology, CPT, and billing forms (HCFA) to ensure compliance.
- Develop and maintain strong relationships with insurance representatives.
- Communicate effectively with patients regarding sensitive matters.
Requirements:
- Excellent organizational and business office skills.
- Ability to work in a fast-paced environment with multiple priorities.
- Strong analytical and problem-solving skills.
- Knowledge of medical insurance and billing procedures.
- Excellent verbal and written communication skills.
