Medical Claims Processor
1 day ago
Join our team as a Medical Collections Specialist and take on a challenging role that requires attention to detail, strong analytical skills, and excellent communication abilities.
About the Role:We are seeking a highly motivated and organized individual to investigate and enter claims in our payment system. As a Medical Collections Specialist, you will be responsible for keeping track and closing open and pending claims quickly and independently.
Key Responsibilities:- Investigate and enter claims in the payment system.
- Keep track and close open and pending claims quickly and independently.
- Investigate claims with multiple coverages and complexities to determine if claims can be payable, resolve denials and correct rejections.
- Process cash transfers and check requests, reviewing insurance explanations, benefits, and remits.
- Electronic, paper, and web portal billings.
- Appropriately send claims to departments for review and eligibility, processing collections.
- Develop detailed and professional explanation letters to non-payable claims based on policy provisions and claim documents.
- Minimum of 1 year of recent experience in Medical Claims processing and Medical Collections.
- Experience in Microsoft, Excel, Outlook, and Word.
- Ability to effectively and efficiently multi-task.
- Ability to work individually and collaboratively.
- Highly detailed and sense of urgency with ability to meet deadlines.
- Strong customer service skills while being highly professional.
We offer a competitive hourly rate of $18.00 to $20.00 per hour, depending on experience. Our benefit offerings include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits, and a 401K plan.
We are an Equal Opportunity Employer and welcome applications from qualified candidates with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements.
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