Medical Claims Specialist

3 weeks ago


Langhorne, Pennsylvania, United States Partners Personnel Full time
Grow Your Career with Partners Personnel

We are seeking a highly skilled Reimbursement Associate to join our team in Langhorne. As a key member of our staff, you will play a critical role in ensuring accurate and timely reimbursement for our clients.

About the Job

  • Job Summary: Prepare and submit health insurance claims to multiple payers, resolving any issues that may arise.
  • Key Responsibilities:
    • Prepare documentation and process patient information efficiently.
    • Review diagnosis, procedure codes, and charges for accuracy.
    • Request and obtain additional patient information and assignment when needed.
    • Verify patient insurance eligibility for services.
    • Check system for possible overlapping claims.
    • Ensure accurate insurance information is recorded.
    • Update insurance information in the proper system.
    • Process and submit claims timely and appropriately.
    • Send all necessary information and documents to payer.
    • Follow-up on claims daily.
    • Ensure claims are adjudicated within 14 business days.
    • Work electronic error/reject reports daily.
    • Complete weekly explanation of Aged A/R.
    • Perform other duties as needed to assist in the functioning of the department.
  • Requirements:
    • High school diploma or GED required.
    • Two years of college or equivalent work experience preferred.
    • Two years of recent healthcare accounts receivable responsibility.
    • Thorough knowledge of all private insurance rules and regulations as it relates to claims submission.

A Competitive Salary and Benefits Package

We offer a competitive salary range of $45,000 - $55,000 per year, depending on experience. Additionally, we provide comprehensive medical benefits, referral bonuses, attendance and performance recognitions, and our highly coveted Associate of the Year award.

About Us

At Partners Personnel, we truly believe that our people are at the heart of our company. We prioritize our employees by providing them with personalized onboarding, opportunities for growth and development, and a supportive work environment.



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