Reimbursement Insurance Claims Processor
5 days ago
A strategic role that ensures accurate and timely reimbursement of services. Verify insurance coverage, manage claims, and resolve issues to guarantee smooth payments.
Key Responsibilities:
- Insurance Verification
- Confirm mental health service coverage and benefits.
- Obtain pre-authorizations when required.
- Check co-pays, deductibles, and coverage limits.
- Claims Follow-Up
- Submit and track insurance claims for timely payment.
- Follow up on denied or unpaid claims, correcting errors and resubmitting as necessary.
- File appeals for denied claims and provide additional information if required.
- Denial Management
- Identify common reasons for claim denials and work to minimize them.
- Keep records of follow-up actions and claim statuses.
- Patient Assistance
- Explain insurance benefits and out-of-pocket costs to patients.
- Answer billing and insurance questions.
Qualifications:
- High school diploma or equivalent.
- At least 2 years of experience in insurance verification, claims, or billing.
- Familiarity with mental health insurance and medical billing.
- Strong communication and organizational skills.
- Experience with billing software and electronic medical records.
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