Healthcare Billing Resolution Expert

3 weeks ago


Columbus, Ohio, United States inAssist Full time
About the Role

We are looking for an experienced Claims Advocate Professional to join our team inAssist Healthcare Management Solutions / HealthLock. As a Claims Advocate Professional, you will play a critical role in reviewing complex healthcare claims and identifying discrepancies to reduce members' out-of-pocket healthcare costs.

Duties and Responsibilities
  • Review patient medical bills, correspondence, and Explanation of Benefits (EOBs) for errors.
  • Liaise with insurance carriers and providers to address identified issues.
  • Communicate with providers and carriers via phone and email, ensuring prompt and professional responses.
  • Identify problems and inconsistencies using management reports and critical thinking skills.

You will also be responsible for utilizing expertise and taking initiative to resolve claims/billing issues and review EOBs and examine claims for appropriate coding of CPT and ICD-9 and -10 codes and modifiers against charges that are billed.

Skills and Qualifications
  • Bachelor's degree in a related field or equivalent experience.
  • 3-5+ years' experience in medical billing and coding.
  • Strong critical thinking and problem-solving skills.
  • Proficiency in Explanation of Benefits (EOB) knowledge.
Compensation and Benefits
  • Estimated salary: $65,000-$85,000 per year, depending on experience.
  • Comprehensive benefits package, including medical, dental, vision, 401K, and life insurance.
  • Generous PTO and paid holidays.

This is an excellent opportunity to work in a fast-paced and dynamic environment with a growing company like inAssist Healthcare Management Solutions / HealthLock.



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