Medical Claims Specialist
1 day ago
As a Medical Billing Collections Specialist at QSS Southeast Clinical Services LLC, you will be responsible for following up on claims, working denials, reading and interpreting Explanation of Benefits (EOBs), drafting letters for appeals, verifying billing codes, and communicating with insurance companies to determine next steps based on Accounts Receivable (AR) and Aging Reports. Strong communication and computer skills are essential for this role.
Key Responsibilities- Follow up on claims to ensure timely payment
- Work with denials to resolve issues and resubmit claims
- Read and interpret EOBs to identify discrepancies
- Draft letters for appeals to resolve billing issues
- Verify billing codes to ensure accuracy
- Communicate with insurance companies to resolve issues
- Determine next steps based on AR and Aging Reports
- Excellent communication and computer skills
- Ability to work in a fast-paced environment
- Strong attention to detail
- Ability to work independently and as part of a team
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Medical Claims Specialist
1 week ago
Detroit, Michigan, United States QSS Southeast Clinical Services LLC Full timeJob DescriptionAt QSS Southeast Clinical Services LLC, we are seeking a skilled Medical Billing and Collections Specialist to join our team. As a key member of our revenue cycle team, you will be responsible for ensuring accurate and timely claims processing, follow-up on denied claims, and maintaining effective communication with insurance companies. Your...
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