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Medical Claims Specialist
2 months ago
Aspirion Health Resources is a leading provider of revenue cycle services, specializing in collecting challenging payments from third-party payers. Our team of experts focuses on complex denials, aged accounts receivables, and other high-value claims.
Job SummaryWe are seeking a skilled Medical Claims Specialist/Analyst to join our team. The ideal candidate will possess claims processing experience and a competitive desire to maximize returns. This is an exciting opportunity for someone seeking experience in medical billing, claims investigation, insurance follow-up, and denial resolution.
Key Responsibilities- Submit electronic and hard copy billing and conduct follow-up with third-party carriers for insurance claims.
- Investigate and coordinate insurance benefits for insurance claims across multiple service lines.
- Obtain claim status via the telephone, internet, and/or fax.
- Review and understand eligibility of benefits.
- Resolve accounts as quickly and accurately as possible, obtaining maximum reimbursement, and perform investigative and follow-up activities in a fast-paced environment.
- Conduct research, contact patients, and local affiliates to include VA, hospitals, and insurance carriers.
- Handle incoming and outgoing mail, scanning, and indexing documents and handle any other tasks assigned.
- Research and verify insurance billing adjustment identification to ensure proper account resolution and act when necessary.
- Identify contractual and administrative adjustments.
- Work independently or as a member of a team to accomplish goals.
- Demonstrate excellent customer service, communication skills, creativity, patience, and flexibility.
- Follow established organization guidelines to perform job functions while staying abreast of changes in policies.
- Correspond with hospital contacts professionally using appropriate language while following the specific facility and department protocol.
- Uphold confidentiality regarding protected health information and adhere to HIPAA regulation.
- Interact with all levels of staff.
- Cross-train in multiple areas and perform all other duties assigned by management.
- Active listening.
- Ability to multi-task.
- Exceptional phone etiquette.
- Strong written and oral communication skills.
- Effective documentation skills.
- Strong organizational skills.
- Service orientation.
- Reading comprehension.
- Critical thinking.
- Social perceptiveness.
- Time management and reliable attendance.
- Fast learner.
- Willing to work on-site in Columbus, GA.
- High School Diploma or equivalent.
- Bachelor's degree preferred, or equivalent combination of education, training, and experience.
- Prior experience in insurance follow-up, claims processing, or medical billing preferred.
Aspirion Health Resources invests in our employees by offering unlimited opportunities for advancement, a full benefits package, including health, dental, vision, and life insurance upon hire, matching 401(k), competitive salaries, and incentive programs.
The US base pay range for this position starts at $16.11 hourly. Individual pay is determined by a number of factors, including job-related skills, experience, education, training, licensure, or certifications obtained. Market, location, and organizational factors are also considered. In addition to base salary, a competitive benefits package is offered.
Aspirion Health Resources is an Equal Employment Opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, age, sex, pregnancy, religion, national origin, ancestry, medical condition, marital status, gender identity, citizenship status, veteran status, disability, or veteran status. Aspirion Health Resources has a Drug-Free Workplace Policy in effect that is strictly adhered to.
