Medical Claims Processing Specialist

1 week ago


Richmond, California, United States Qualified Staffing Full time

We are seeking a highly skilled Medical Claims Billing Associate to join our team at Qualified Staffing in Glen Allen, VA. This is a full-time position with a competitive salary range of $45,600 - $51,000 per year.

About the Job

As a Medical Claims Billing Associate, you will be responsible for ensuring that our clients receive proper reimbursement for claims submitted for payment. You will communicate effectively with key decision-makers within the company and undertake all work in accordance with law, regulation, payer requirements, and company policies.

Your primary tasks will include:

  • Responding to customer telephone calls regarding their statements
  • Researching and resolving issues with claims, including denials and appeals for assigned payer group
  • Identifying discrepancies and working towards their resolution or communicating with other personnel for resolution as appropriate
  • Effectively communicating with Revenue Cycle leadership regarding potential changes to Payer Pro, changes in fee schedule, need for prior authorization, etc.
  • Maintaining appropriate levels of communication and confidentiality

You will also be responsible for:

  • Maintaining accurate records and reports
  • Performing data entry and other administrative tasks
  • Providing exceptional customer service and support

To succeed in this role, you will require:

  • A high school diploma and/or GED
  • Associate's degree in general studies, accounting, finance, or a similar course of study
  • Proficiency in Microsoft Office Suite and Claims Management systems
  • Experience with insurance billing and/or collections
  • Excellent organizational and time management skills
  • Superior professional ethic and commitment to working appropriately with and managing highly confidential and sensitive information

Qualified Staffing offers a fantastic benefits package to all of our employees, including healthcare, vacation/holiday pay, and 401K. We value diversity and are committed to creating an inclusive environment where everyone feels valued and respected.



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