Medical Claims Auditor

4 days ago


Columbus, Ohio, United States inAssist Full time

Be part of a dynamic healthcare company inAssist, where our innovative approach to medical claims processing sets us apart.

We represent patients in negotiating their medical bills, leveraging our proprietary application software and team of skilled Medical Claims Auditors/Personal Healthcare Advocates. Our mission is to simplify the complex world of healthcare, returning savings to consumers while delivering exceptional service.

Job Description:

  • Review patient medical bills, correspondence, and Explanation of Benefits (EOBs) for accuracy, ensuring claims are processed according to plan benefits.
  • Communicate with Insurance Companies and Providers to resolve issues, appeal denied claims, coordinate billing errors, and negotiate payments.
  • Provide timely and professional support to clients via phone, email, and text, addressing concerns and resolving medical bill-related issues.
  • Offer benefit and health insurance guidance to clients.
  • Analyze management reports and research to identify problems and inconsistencies in claims/billing processes.
  • Summarize findings and make recommendations to resolve claims/billing issues.

Requirements:

  • A background in medical billing or insurance claims administration is preferred.
  • 2-3 years of experience in Medical Billing, Coding, A/R follow-up, and Collections is desired.
  • Familiarity with Explanation of Benefits (EOB) knowledge, general medical terminology, and medical front desk experience.
  • Experience with Benefits and insurance verification, including Out of Network (OON) Benefits.
  • Manual OON paper claim submission experience.
  • The ability to work effectively as part of a team and possess excellent communication, problem-solving, and time-management skills.
  • Proficient in Microsoft Office and website navigation of carrier web portals.
  • Strong interpersonal communication skills.

Benefits:

  • Extensive paid training.
  • A supportive and positive team environment.
  • Advancement opportunities.
  • Benefits, including medical, dental, vision, 401K, and life insurance.
  • Generous PTO and paid Holidays.
  • Part-time and full-time opportunities available.

Pay Range: $18-$21/hour, depending on experience.



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