Medical Claims Specialist

4 days ago


Columbus, Georgia, United States Aspirion Health Resources LLC Full time
Job Title: Medical Claims Specialist/Analyst

Aspirion Health Resources LLC is seeking a highly skilled Medical Claims Specialist/Analyst to join our team. In this role, you will be responsible for investigating and resolving insurance claims, ensuring accurate and timely reimbursement for our hospital and health system partners.

Key Responsibilities:
  • Investigate and resolve insurance claims, including researching and verifying insurance benefits and eligibility
  • Conduct follow-up with third-party carriers to obtain claim status and resolve any issues
  • Review and understand eligibility of benefits, including contractual and administrative adjustments
  • Identify and resolve accounts as quickly and accurately as possible, obtaining maximum reimbursement
  • Perform investigative and follow-up activities in a fast-paced environment
Requirements:
  • Active listening and strong communication skills
  • Ability to multi-task and prioritize tasks effectively
  • Exceptional phone etiquette and customer service skills
  • Strong written and oral communication skills
  • Effective documentation skills and attention to detail
Education and Experience:
  • High School Diploma or equivalent required; Bachelor's degree preferred
  • Prior experience in insurance follow-up, claims processing, or medical billing preferred
Benefits:
  • Competitive salary and benefits package, including health, dental, and vision insurance
  • Matching 401(k) plan and opportunities for advancement
  • Professional development and training opportunities


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