Insurance Claims Resolution Professional

7 days ago


Longmont, Colorado, United States The Staff Pad Full time
Job Overview

The Staff Pad has partnered with a leading accounts receivable management company in Colorado to hire an Insurance Claims Resolution Specialist. This remote position involves working with organizations across the United States, providing expert support in managing revenue cycles.


Responsibilities
  • Resolve outstanding balances on insurance accounts for various clients by handling claims, billing, and appeals.
  • Trace missing payments, escalate coding issues when necessary, and manage correspondence as assigned by the client.
  • Post adjustments in client systems when required and communicate with payers via phone and web portals.
  • Provide continuous updates to clients through phone, email, and in-person communication, and escalate any trends or issues requiring additional attention to the Manager/Supervisor.

Requirements and Qualifications
  • A minimum of 1 year of experience in insurance follow-up or denials management is required.
  • OR completion of a medical billing/follow-up certificate or degree is also acceptable.
  • The ability to analyze accounts for claims resolution is essential.
  • A high school diploma or equivalent is mandatory.

Preferred Qualifications
  • A minimum of 6 months of experience in coverage and eligibility is preferred.
  • Familiarity with claim status, appeals, and billing procedures is desirable.
  • BASIC knowledge of medical billing and coding is required.
  • Experience in claims billing and reimbursement analysis is advantageous.
  • Proficiency in client systems like EPIC, Affinity, Athena, Meditech, Change Healthcare (Emdeon, ePremis, Relay) is highly valued.

Compensation

The estimated salary for this position is between $55,000 and $75,000 per annum, depending on experience and qualifications. A comprehensive benefits package is also included.



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