Healthcare Claims Resolution Specialist
6 days ago
Company Overview
">Sherloq Solutions is a reputable company with over 100 years of history in the community. We foster a team environment, respect and value our employees' contributions.
Salary
">This position earns an estimated $60,000 - $80,000 per year, depending on experience, to maximize your skills in the healthcare revenue cycle industry.
Job Description
">We are seeking candidates with experience from healthcare providers or insurance payers who can resolve healthcare claims through verbal or online inquiries to health insurance payers.
- Navigate and utilize various healthcare provider software systems to verify patient, insurance, billing, and claim submission information for accuracy.
- Analyze payer denials and respond to secure claim reimbursement.
- Track trends in payer underpayments, coding issues, and denials and report to leadership for escalation.
- Recognize basic coding denials and request appropriate action for correction or dispute.
Required Skills and Qualifications
">To succeed in this role, you must have excellent verbal and written communication skills, be able to problem solve, think critically to identify trends, and work well with others.
A background in medical claims billing, insurance collections, coding, and/or denials management is desired. Three (3) years of healthcare industry experience preferred.
Benefits
">We offer competitive benefits, including medical insurance, a 401(k) plan, generous vacation and paid-time-off (PTO), eight paid holidays, tuition reimbursement, life, dental, accidental death & disability, and supplemental insurance.
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