Insurance Claims Examiner

4 weeks ago


RignylaSalle, Grand Est, United States CLD - Coon Rapids MN, LLC Full time
Job OverviewAs a Medical Billing Specialist at CLD - Coon Rapids MN, LLC, you will be responsible for the completion of medical billing-related activities, including claims submission and follow-up, payment posting, denials management, refunds, claims reconciliation, insurance verification, and quality tracking. You will provide exceptional customer service to all patients and insurance personnel.

Responsibilities and Duties
  • Verify and coordinate insurance coverages to ensure accurate billing and reimbursement.
  • Accurately enter billing charges from providers and submit claims to insurance companies, assisting patients with account issues as needed.
  • Resolve medical billing issues with insurance carriers and resubmit claims as necessary, investigating and resolving denied claims and forwarding for prior authorizations as required.
  • Assist in resolving past due bills or making payment arrangements for patients, maintaining patient confidentiality.
  • Proactively assist Patient Care Coordinators and Front Desk Reception, providing support and guidance as needed.
Qualifications
  • 1 year of customer service experience, with a strong focus on communication and problem-solving skills.
  • Ability to handle a fast-paced environment, with a high level of accuracy and attention to detail.
  • Strong written and oral communication skills, with the ability to effectively communicate with patients, insurance personnel, and internal teams.
  • Demonstrated ability to manage complex operational matters, with a focus on quality and efficiency.
  • Highly motivated and self-starter attitude, with a strong desire to learn and grow in a dynamic environment.
  • Energetic and engaging personality, with a passion for working with people and providing exceptional customer service.
  • Proficient with computers, with experience in medical billing software and systems a plus.
  • Bilingual in Spanish, Somali, Oromo, or Hmong a plus, with a strong desire to serve a diverse patient population.
Work Environment

CLD - Coon Rapids MN, LLC is an equal employment opportunity employer, committed to providing a safe and inclusive work environment for all employees and applicants.

We prohibit discrimination and harassment of any type, without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.



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