Medical Claims Processing Specialist
1 week ago
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 JobAs 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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