Third Party Insurance Claims Specialist

2 weeks ago


Weymouth, Massachusetts, United States South Shore Health Full time

Job Overview

This role is responsible for processing third-party insurance claims, ensuring timely and accurate reimbursement for patients.

Key Responsibilities:

  • Maintain knowledge of federal, state, and insurance-specific billing regulations to ensure compliance.
  • Evaluate daily claim files using online claim editing software to identify and correct errors.
  • Initiate collection of aged accounts receivable through automated work lists, collaborating with denial management staff as needed.
  • Generate reports to track collection efforts and identify areas for improvement.

Requirements

To be successful in this role, you will need:

  • Strong analytical and problem-solving skills.
  • Excellent communication and interpersonal skills.
  • Able to work independently with minimal supervision.

Benefits

This position offers a competitive salary range of $45,000 - $65,000 per year, based on experience, as well as opportunities for professional growth and development.

About Us

South Shore Health is a leading healthcare provider dedicated to delivering high-quality patient care and services. We are committed to fostering a culture of safety, respect, and teamwork.



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