Claims Specialist
3 days ago
Job Summary
The Claims Analyst Specialist plays a critical role in ensuring timely and accurate payment from third-party payers. This position is responsible for tracking, reviewing, and following up on outstanding patient accounts, including reviewing patient accounting desktop, clearinghouse billing lists, and intermediary online error lists. The ideal candidate will be proficient in multiple payer software systems, knowledgeable of billing codes, and able to interact with insurance carriers to resolve claims.
Key Responsibilities
- Track and review outstanding patient accounts
- Review patient accounting desktop, clearinghouse billing lists, and intermediary online error lists
- Follow up with insurance companies and patients to resolve claims
- Process requested adjustments, post payments and denials, and complete daily reconciliation of bank deposits
- Enter daily posting numbers to accounting shared spreadsheet and process refunds from credit balance report
- Interact with insurance carriers to resolve claims and monitor Medicare and Medicaid accounts identified by recovery audit contractors
Requirements
- Three years of hospital billing experience in multiple financial classes
- Two years of recent hospital cash posting experience
- General accounting practices required
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