Medical Benefits Coordinator

2 weeks ago


Tulsa, Oklahoma, United States HireCall Full time
Job Title: Medical Benefits Specialist

We are seeking an experienced Benefits Specialist to join our team at HireCall. As a Benefits Specialist, you will play a critical role in ensuring timely collection of medical claims and providing excellent customer service to patients and medical staff.

Responsibilities:
  1. Conduct thorough research and follow-up on outstanding claims to ensure accurate and timely payment.
  2. Communicate effectively with patients, medical staff, and third-party payers to resolve claims issues.
  3. Prepare and submit appeals for claims requiring reconsideration for additional payment.
  4. Act as a liaison between Patient Accounts and physician offices, insurance carriers, and other third-party payers to facilitate smooth claims processing.
  5. Document all activity taken in each patient's account to maintain accurate records.
  6. Reconcile payments received and posted daily with financial accounting to ensure accuracy.
  7. Perform assigned billing, eligibility, and account follow-up activities as needed.
  8. Maintain confidentiality and adhere to all compliance regulations.
Qualifications:
  1. Minimum of 2 years' experience in a medical office or hospital administration role.
  2. Experience with insurance verifications and authorizations required.
  3. Proficiency in MS Word, MS Excel, and Outlook.
  4. Ability to organize and prioritize work tasks and duties.
  5. Ability to meet deadlines and answer telephones.
  6. Proficiency in data entry and 10-key skills.
  7. Age 21 or older.
  8. High school diploma or equivalent.

Qualified candidates should submit their resumes to HireCall for consideration. We are an equal opportunity employer and value diversity. All employment decisions are based on qualifications, merit, and business need.



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