Medical Claims Specialist
2 weeks ago
We are seeking a highly skilled Medical Claims Specialist to join our team at Intellivo. This role involves monitoring and managing the status of claims after they have been submitted to insurers, ensuring all necessary documentation is complete and verifying that claims are processed according to regulatory guidelines.
The ideal candidate will have a strong working knowledge of MS Office & MS Outlook, excellent communication skills (written & verbal), and be well organized, detail oriented, and flexible.
Responsibilities:
- Monitor claim progress and address denials in a timely manner
- Communicate effectively with insurance adjusters to resolve issues promptly
- Maintain accurate records of all follow-up communications, claims statuses, and actions taken
- Reconcile accounts to ensure payments received match billed amounts and address discrepancies
- Negotiate settlements with auto liability insurers as needed
Requirements:
- High school diploma or equivalent required
- Previous experience in medical billing, specifically with Workers' Compensation and Auto Liability claims, is highly desirable
- Familiarity with relevant regulations and guidelines related to Workers' Compensation and Auto Liability billing
- Strong ability to review and analyze claims to ensure accuracy and compliance
Benefits:
- Competitive salary: $50,000 - $60,000 per year
- Medical insurance
- Dental & vision insurance
- Industry-leading health & wellness benefits
- 401(K) retirement plan
- Generous paid time off
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