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Healthcare Billing Claims Escalation Specialist
2 months ago
Job Summary:
We are seeking a highly skilled Healthcare Billing Claims Escalation Specialist to join our team at Sandstone Care. As a key member of our team, you will be responsible for managing and resolving complex insurance claim issues, ensuring successful outcomes for our clients and their families.
About the Role:
The Healthcare Billing Claims Escalation Specialist will be responsible for:
- Managing and resolving complex insurance claim issues, including unpaid and rejected claims.
- Managing appeals for denied claims, ensuring claims are reviewed, corrected, and resubmitted.
- Handling complex escalations within the claims team, working closely with payers and internal stakeholders.
- Contributing to assigned payer projects and escalating claim issues as necessary.
- Applying extensive knowledge of CPT and ICD-10 to review claims and ensure compliance.
Requirements:
- 5-7 years of hands-on experience in medical billing and claims resolution.
- Familiarity with CPT and ICD-10 codes and experience in a healthcare setting.
- Experience handling complex denials and appeals.
- Strong PC and billing application skills.
- Proven ability to manage a high workload with speed and accuracy.
What We Offer:
- Competitive Compensation: $60,000 annual salary.
- Benefits: Medical, dental, vision, short/long-term disability, life insurance, 401k with up to 5% match, and 4+ weeks of paid time off.
- Growth Opportunities: We invest in your personal and professional development.
- Inclusive Culture: Join a team that values diversity, inclusion, and equity for both staff and clients.
How to Apply:
Apply now and take the first step towards a rewarding career with Sandstone Care. Our application process typically takes 1-2 weeks and includes a discovery call, interview with the hiring manager, and a comprehensive background check.
