Insurance Claims Processor 3rd Party
3 weeks ago
We are seeking a highly skilled Insurance Claims Processor to join our team at The Bachrach Group LTD. As a direct hire opportunity, this role requires prior experience in hospitals or professional billing.
- Claims processing experience.
- Payer regulations knowledge.
- Insurance billing rules understanding.
The ideal candidate will have excellent analytical and communication skills, with the ability to perform follow-up activities on billed accounts, ensure contracted payment rates are received, and provide timely and quality follow-up.
Key responsibilities include:
- Ensuring knowledge of payer regulations through educational sessions and self-educational activities.
- Knowledge of Medicare/Medicaid governmental benefits and third-party insurance billing rules and regulations.
- Follow-up of third-party balance due accounts.
- Contacting third-party payers via website portals, telephone, and/or correspondence.
- Verifying insurance coverage/benefits and following up on billed insurance claims.
- Analyzing credit balances and processing timely refunds via payments and/or claim corrections.
- Accurate primary and secondary submission of clean claims via the Epic System.
- Posting lockbox and EFT payments (insurance and self-pay payments and denials).
Preferred education and experience include:
- College degree.
- 1-2 years of prior health care experience.
- Computer proficiency.
- HIPAA compliance.
The estimated salary for this position is $60,000 - $80,000 per year, depending on experience.
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