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Claims Resolution Specialist
3 months ago
Job Summary:
As an AR Specialist at Surgery Partners, you will play a critical role in ensuring timely payment of medical claims. Your primary responsibility will be to work denials and aging reports, following up on medical claims that have not been paid in a timely manner. You will also be responsible for contacting insurance companies to determine the reason for delayed processing, sending medical records as needed, and communicating with patients to obtain additional information required for claim processing. Additionally, you will work closely with coding to resolve denials.
Requirements:
High School graduate or equivalent required. Medical terminology knowledge is essential. One to three years of experience in the healthcare industry, with a focus on third-party reimbursement, collections, and public contact, is preferred. Proficiency in computer software for billing, word processing, and spreadsheet entry is required. This role requires strong communication and problem-solving skills, as well as the ability to work in a fast-paced environment.
Benefits:
Surgery Partners offers a comprehensive benefits package, including health, dental, and vision insurance, a Health Savings Account with employer contribution, life insurance, and a 401(k) retirement plan with company match. We are an equal opportunity employer and are committed to diversity in the workplace.