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Medical Claims Specialist

2 months ago

Cincinnati, Ohio, United States Vaco Full time
Job Summary

Vaco is seeking a highly skilled Medical Claims Follow-up Representative to join our team. As a Medical Claims Follow-up Representative, you will be responsible for reviewing patient bills for accuracy and completeness, preparing and transmitting claims, and following up on unpaid claims.

Key Responsibilities
  • Claims Review and Processing: Review patient bills for accuracy and completeness, and obtain any missing information as needed.
  • Claims Transmission: Prepare, review, and transmit claims using billing software, including electronic and paper claim processing.
  • Follow-up and Resolution: Follow up on unpaid claims within the standard billing cycle timeframe, and resolve any discrepancies or issues that arise.
  • Insurance Payment Verification: Check each insurance payment for accuracy and compliance with contract discounts.
  • Insurance Communication: Communicate with insurance companies regarding any discrepancies or issues with payments.
Requirements
  • Strong Communication Skills: Excellent verbal and written communication skills, with the ability to effectively communicate with patients, insurance companies, and other stakeholders.
  • Attention to Detail: High level of attention to detail, with the ability to accurately review and process claims.
  • Organizational Skills: Strong organizational skills, with the ability to prioritize tasks and manage multiple claims simultaneously.
  • Technical Skills: Proficiency in billing software and other technical systems used in the claims process.
About Vaco

Vaco is a leading staffing firm that values diversity and inclusion in the workplace. We are committed to providing a welcoming and inclusive environment for all employees and applicants.