Medical Claims Specialist
6 days ago
Job Title: Medical Claims Specialist
About the Job:
We are seeking a highly skilled Medical Claims Specialist to join our team at Surgery Partners. As a key member of our staff, you will be responsible for handling all aspects of insurance claims and denials.
Responsibilities:
- Review billing information, debt, and unpaid insurance claims
- Contact the insurance company with outstanding bills (Medicare, PPO, HMO etc) to determine payment status
- Provide correspondence and appeal denials and follow up on appeals in process
- Organize, research, and prepare appeals
- Contact patients with outstanding bills to determine a repayment plan
- Provide detailed reports to management
Requirements:
- High School Diploma or Equivalent
- 2 years of medical collections experience required
- Good verbal and written communication skills
- Knowledge of computers with experience in windows-based systems and Microsoft Office
- Experience with medical practice billing software necessary
- Proficient in medical terminology
- Ability to communicate effectively with center management, center staff, patients, their families, the physicians, and their staff
- Ability to handle frequent interruptions that result in having to re-evaluate priorities
Compensation: The estimated salary for this position is around $55,000 - $65,000 per year, depending on experience.
Benefits:
- Comprehensive health, dental, and vision insurance
- Health Savings Account with an employer contribution
- Life Insurance
- PTO
- 401(k) retirement plan with a company match
Working at Surgery Partners:
We are committed to creating a diverse and inclusive workplace where everyone feels valued and respected. We believe that by bringing together people from different backgrounds and perspectives, we can create innovative solutions and deliver exceptional patient care.
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