Medical Claims Representative

3 weeks ago


Olathe, United States Robert Half Full time
Job DescriptionJob DescriptionWe are in search of a Medical Claims Representative to be a part of our team in Olathe, Kansas. This role involves the processing of medical claims and appeals, along with the administration of benefits and billing functions. It is essential for the successful candidate to have a comprehensive understanding of the insurance claims process and collection procedures.

Responsibilities:

• Accurately process medical claims and appeals in a timely manner
• Administer benefits and billing functions effectively
• Understand and navigate the insurance claims process
• Oversee collection processes and procedures
• Maintain a broad understanding of medical claims procedures
• Use Allscripts, Cerner Technologies, Epic Clinical, and Epic Software for various tasks
• Conduct regular monitoring of customer accounts and take necessary actions
• Ensure accurate and efficient processing of customer credit applications
• Maintain accurate records of customer credit
• Resolve customer inquiries promptly and professionally.• Proficient in handling Appeals related to medical claims
• Comprehensive understanding of Benefit Functions in a medical setting
• Capable of performing Billing Functions efficiently
• Experience in Claim Administration, preferably in the medical field
• Familiarity with Collection Processes within a healthcare environment
• Expertise in managing Insurance Claims, ensuring accuracy and timeliness
• Solid experience in processing Medical Claims, with a focus on minimizing errors and maximizing efficiency

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