Medical Claims Representative
3 weeks ago
Responsibilities:
• Administering claims and entering all associated expenses accurately.
• Engaging with physician offices and hospitals to resolve any pending invoices for services.
• Monitoring and managing vendors associated with your role.
• Utilizing software such as Allscripts, Cerner Technologies, EHR SYSTEM, Epic Clinical, and Epic Software for various processes.
• Conducting troubleshooting as needed to ensure smooth operations.
• Overseeing appeals, benefit functions, billing functions, and claim administration.
• Managing collection processes efficiently.
• Regularly updating and maintaining records using Microsoft Excel and Word.• Proficiency in Allscripts software is required
• Familiarity with Cerner Technologies is a must
• Experience with EHR SYSTEM is needed
• Working knowledge of Epic Clinical is essential
• Proficiency in Epic Software is preferred
• Skilled in handling Appeals is necessary
• Understanding of Benefit Functions is required
• Experience with Billing Functions is essential
• Knowledge of Claim Administration is a must
• Familiarity with Collection Processes is preferred
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