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Claims Resolution Specialist
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Job Description
- Req#: FDG0dJXndzSq
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Supportive and collaborative work environment
- Chance to make a positive impact on billing accuracy and patient satisfaction
- Work with a team dedicated to providing unparalleled healthcare services
- Be part of a company that values diversity and inclusion
What to Expect (Job Responsibilities):
- Resolve denials, takebacks, and credits by working assigned holds and worklists
- Collaborate with insurance companies, patients, and healthcare providers to ensure claims are processed and paid
- Review and appeal denied and unpaid claims
- Verify patients' insurance coverage and update claims/charts as needed
- Answer patient inquiries regarding billing, insurance, and payments
What is Required (Qualifications):
- High School Diploma or GED required
- Previous experience in medical billing or a related field is preferred
- Proficiency in electronic health records and billing software preferred
- Knowledge of medical terminology, coding, and billing procedures
- COVID-19 and Flu vaccination or an approved request for accommodation is required as a condition of employment
How to Stand Out (Preferred Qualifications):
- Experience with Athena or similar billing software
- Familiarity with insurance guidelines, CMS guidelines, and policies
- Strong analytical skills to review patient bills for accuracy and completeness
#HealthcareServices #ClaimsResolution #MedicalBilling #CareerOpportunity #DiversityAndInclusion
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We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer."About the company
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