Medical Claims Specialist Follow Up

Please refer to Requirements and Summary

• Analyzes Medicare, Medicaid remittance advices and insurance carrier’s explanations of benefits to ensure accurate and prompt processing of claims.
• Reviews billings to patients after insurance carriers have paid or denied claims to ensure prompt account balance payments.
• Routinely works accounts receivables to recover unpaid account balances.
• Communicates effectively with patients, insurance companies, hospitals, clients, and others to resolve account balance issues.
• Sorts and files correspondents.
• Maintains strict confidence of all patient accounts and complies with all company policies and HIPPA regulations.
• Performs other jobs and/or duties as requested by supervisor.
• Understands computer processing. Has knowledge of spreadsheets, word processing, email messaging, and internet navigation.
• Consistently demonstrates a customer service orientation and communicates effectively. Has good interpersonal skills, is empathetic, listens for understanding and has pleasant telephone presentation skills.
• Has excellent organizational skills. Can organize and prioritize tasks to accomplish work. Multi-tasks and manages time effectively.
• Acquires new skills and learns quickly. Can effectively cope with change and shift gears comfortably.
• Supports PFS team by contributing, cooperating, sharing knowledge and working collaboratively with others.
• Ability to use personal computers and effectively navigate common software programs.
• Responsible for appropriate follow-up of filed medical claims to ensure timely collection of claims payments.

Benefits:

• 401(k)
• Dental insurance
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Ability to commute/relocate:

• • Magee, MS 39111: Reliably commute or planning to relocate before starting work (Required)