Medical Claims Specialist

3 weeks ago


Hicksville, New York, United States Sonic Healthcare Full time

Medical Claims Specialist

We are seeking a highly skilled Medical Claims Specialist to join our team at Sonic Healthcare. As a Medical Claims Specialist, you will be responsible for researching and reconciling denied and unpaid medical claims, as well as collecting reimbursements for services rendered.

Key Responsibilities:

  • Research and reconcile denied and unpaid medical claims
  • Collect reimbursements for services rendered by reviewing insurance carriers reject reports, EOB's and or correspondence
  • Use established protocols to contact providers and clients to resolve discrepancies in processed, partially paid and unpaid claims with timely appropriate follow up action
  • Review claims for possible refunds to insurance and/or patients
  • Research claims rejected by clearing house
  • All other tasks necessary to collect on unpaid claims, along with other tasks assigned by your supervisor, up to and including customer service support/answering patient calls

Requirements:

  • Medical Billing Certification, preferred
  • Coding Certification, a plus
  • Laboratory experience, a plus
  • Strong computer skills with proficiency or knowledge of Microsoft Excel and Word
  • At least two years experience in denials or accounts receivable, preferred

What We Offer:

  • Medical, Vision and Dental Insurance
  • Short Term and Long-Term disability
  • Voluntary term life
  • 401-K plus match
  • Paid Time Off
  • Paid holidays

Sonic Healthcare USA is an equal opportunity employer that celebrates diversity and is committed to an inclusive workplace for all employees.

We prohibit discrimination and harassment of any kind based on race, color, sex, religion, age, national origin, disability, genetics, veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.



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