Claims Specialist

4 days ago


Jacksonville, Florida, United States Onslow Memorial Hospital Full time

Job Summary

Onslow Memorial Hospital seeks a skilled Claims Analyst Specialist to join our team. The successful candidate will be responsible for tracking, reviewing, and following up on outstanding patient accounts, ensuring timely and accurate payment from third-party payers.

Key Responsibilities

  • Review and analyze patient accounting data, clearinghouse billing lists, and intermediary online error lists to identify and resolve claim discrepancies.
  • Communicate with insurance companies and patients to resolve claim issues, file primary, secondary, and tertiary insurance, and re-bill as necessary.
  • Process and review line item denials and claim rejections, and research and resubmit claims as needed.
  • Stay up-to-date with multiple payer software systems, billing codes, and claim formats.
  • Post payments and denials to patient accounts via electronic and manual batch posting.
  • Process requested adjustments, complete daily reconciliation of bank deposits, and post payments.
  • Enter daily posting numbers to accounting shared spreadsheet, process refunds from credit balance report, and complete insurance requests.
  • Interact with insurance carriers to resolve claim issues and monitor Medicare and Medicaid accounts identified by recovery audit contractors.

Requirements

  • Three years of hospital billing experience in multiple financial classes preferred.
  • Two years of recent hospital cash posting experience.
  • General accounting practices required.

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