Claims Resolution Specialist
4 days ago
Advantia is seeking a Claims Resolution Specialist specializing in Remittance to join our team As a Claims Resolution Specialist (Remittance), you will be essential in ensuring the accuracy and timeliness of billing and reimbursement for medical services. This important role demands a solid understanding of medical terminology, coding, and billing procedures. This role will report to the RCM Manager.
Job Responsibilities:
- Initiating ERA (electronic remittance advice) set up with clearinghouse and/or third-party portals.
- Initiating EFT (electronic funds transfer) set up with payers & third-party portals.
- Assist in vendor support of daily cash reconciliation duties.
- Clear understanding of RCM Payment Posting Processing (ERA/Manual Posting) of Line-Item Payments/Denials.
- Clear understanding of reconciling offset/recoupment payer remits.
- Call carriers and third parties to resolve unidentified payments/reconcile items.
- Responsible for maintaining payer portal admin and employee registration.
- Assist the RCM Manager with various projects.
- High School/GED Education required
- Previous experience in medical billing or a related field is preferred.
- Proficiency in electronic health records and billing software preferred.
- Athena experience required.
- Health, Dental, and Vision Insurance
- Health Savings Account (HSA) and Flexible Savings Account (FSA) Option
- 401k Retirement Plan
- Life and Disability Insurances
- Paid holidays/PTO
Please note: Advantia Health provides unparalleled healthcare to our customers by employing the most highly qualified individuals. If you are selected for further consideration, you will be subject to a background investigation. COVID-19 and Flu vaccination or an approved request for accommodation is required as a condition of employment.
Advantia Health is an Equal Opportunity Employer that is committed to global diversity: It is a place where good people want to work, and customers want to continue to engage EOE M/F/D/V.
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