Insurance Claims Processor

4 days ago


Portsmouth, Virginia, United States Southern Ohio Medical Center Full time
Job Summary

We are seeking a highly organized and detail-oriented Insurance Claim Specialist to join our team at Southern Ohio Medical Center. As a key member of our Claims Management team, you will be responsible for analyzing, processing, and submitting medical claims in a timely and accurate manner.

Key Responsibilities
  • Review and verify all claims for completeness and accuracy
  • Communicate with other departments, physician offices, and insurance companies to obtain necessary information
  • Process, edit, and submit claims in a timely manner
  • Follow up on commercial, worker's comp, VA, and governmental claims
  • Work with patients and guarantors to resolve unpaid claims
  • Process administrative appeals, reinstatements, and rejections
  • Analyze daily correspondence to resolve issues
  • Adhere to HIPAA regulations and maintain confidentiality
Requirements
  • High School Diploma or equivalent required
  • Three to six months of related work experience in medical billing preferred
  • Basic analytical ability and knowledge of medical terminology
  • Excellent communication and interpersonal skills
  • Ability to work in a fast-paced environment and meet deadlines
What We Offer

Southern Ohio Medical Center is an equal opportunity employer and offers a competitive salary and benefits package. If you are a motivated and detail-oriented individual with a passion for healthcare, we encourage you to apply for this exciting opportunity.



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