Medical Claims Representative

3 weeks ago


East Hartford, United States Robert Half Full time
Job DescriptionJob DescriptionWe are in search of a Medical Claims Representative based in East Hartford, Connecticut, United States. This role lies within the healthcare industry and offers a short-term contract employment opportunity. The selected individual will be tasked with managing medical claims, liaising with various healthcare providers, and ensuring accurate tracking of all expenses related to workers' claims.

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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