Medical Claims Specialist IV
4 weeks ago
The University of Rochester seeks a highly skilled Medical Claims Specialist IV to join our team. As a key member of our Medical Faculty Group, you will be responsible for resolving complex accounts in specialty billing, utilizing your expertise in A/R experience and knowledge of billing software systems.
Key Responsibilities- Resolve system edits, unpaid and denied insurance/client accounts, resulting in payment or resolution of the outstanding claim.
- Utilize MFG and/or payer billing software to research and make suggestions to optimize key performance in collections.
- Research claims, identify problems, and take appropriate action to assure claim resolution.
- Communicate with insurance representatives through telephone calls, payer website, and written communication.
- Prepare reports for management to document recurring problems and identify the source of reimbursement delays.
- Associates Degree and 4-5 years of professional medical claims billing and collecting experience.
- Demonstrated organizational and problem-solving skills.
- Effective written and verbal communication skills.
- Strong working knowledge of professional billing software applications.
- Strong analytical skills.
- Knowledge of Microsoft Office programs (Word, Excel, etc.).
The University of Rochester is committed to fostering a culture of equity, diversity, and inclusion to advance our mission to Learn, Discover, Heal, Create – and Make the World Ever Better. We are an equal opportunity employer and welcome applications from underrepresented populations, veterans, and persons with disabilities.
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