Healthcare Insurance Account Resolution Specialist

7 days ago


Reading, Pennsylvania, United States Annuity Health Full time

At Annuity Health, we are seeking a skilled Healthcare Insurance Account Resolution Specialist to join our team. This is a challenging role that requires strong communication and problem-solving skills.

About the Role

This position is responsible for resolving insurance claims and account issues for hospital and physician services. The successful candidate will have experience working with Medi-Cal and other health insurance payers, as well as knowledge of government and non-government billing guidelines.

The ideal candidate will be highly organized, detail-oriented, and able to work independently in a fast-paced environment. Strong customer service skills and the ability to communicate effectively with various stakeholders are essential.

Key Responsibilities
  • Provide customer service to healthcare contract customers
  • Prepare and research claims for submission to Medi-Cal and other health insurance payers
  • Research remits and Explanation of Benefits (EOBs) for complete accurate payments or denials
  • Submit corrected claims or appeals
  • Gather payor trends and provide feedback
Requirements

To be considered for this role, you should have:

  • At least three years of experience in medical billing and insurance collections or a related field
  • Knowledge of government and non-government billing guidelines for facility/physician services
  • Excellent customer service and time management skills
  • High attention to detail required

We offer a competitive salary range of $55,000 - $65,000 per year, depending on experience. If you are a motivated and experienced professional looking for a new challenge, please submit your application.



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