Insurance Claims Specialist

24 hours ago


Cincinnati, Ohio, United States Vaco Full time
Job Summary

Vaco is seeking a skilled Insurance Follow-up Specialist to join our team. As an Insurance Follow-up Specialist, 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 Processing: Review patient bills for accuracy and completeness, and obtain any missing information.
  • Claims Transmission: Prepare, review, and transmit claims using billing software, including electronic and paper claim processing.
  • Follow-up on Unpaid Claims: Follow up on unpaid claims within the standard billing cycle timeframe.
  • Denial and Appeal Management: Follow up on denials and write appeals as necessary.
  • Insurance Payment Verification: Check each insurance payment for accuracy and compliance with contract discount.
  • Discrepancy Resolution: Call insurance companies regarding any discrepancy in payments if necessary.
Requirements

To be successful in this role, you will need:

  • Strong Communication Skills: Excellent communication and interpersonal skills to effectively interact with patients, insurance companies, and internal stakeholders.
  • Attention to Detail: High level of accuracy and attention to detail to ensure claims are processed correctly and efficiently.
  • Organizational Skills: Ability to prioritize tasks and manage multiple projects simultaneously in a fast-paced environment.
  • Technical Skills: Proficiency in billing software and electronic claim processing systems.
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.



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