10 Claims Resolution Specialist Jobs near me
VieMed Healthcare is Hiring a Claims Resolution Specialist Near Lafayette, LA
- Review and understand Insurance policies and standard Explanation of Benefits.
- Review and understand medical documentation effectively
- Review and resolve Back Collections related tasks, such as
- Denial appeals
- Payment review and balance billing
- Claims generation
- Establishes and maintains effective communication and good working relationships with insurance carriers, patients/family, and other internal teams for the patient’s benefit.
- Performs other clerical tasks as needed, such as
- Answering patient/Insurance calls
- Faxing and Emails
- Communicates appropriately and clearly to Manager/Supervisor, and other superiors. Reports all concerns or issues directly to Revenue Cycle Manager and Supervisor
- Other responsibilities and projects as assigned.
- High School Diploma or equivalent
- Knowledge of Explanation of Benefits from insurance companies
- General knowledge of government, regulatory billing and compliance regulations/policies for Medicare & Medicaid
- Working knowledge of CPT and ICD-10 codes, HCFA 1500, UB04 claim forms, HIPAA, billing and insurance regulations, medical terminology, insurance benefits.
- Enough knowledge of policies and procedures to accurately answer questions from internal and external customers.
- Utilizes initiative while maintaining set levels of productivity with consistent accuracy.
- 3-5 Years in DME or medical billing experience preferred.
- Minimum of 1 year of insurance verification or authorizations required.
- Superior organizational skills.
- Proficient in Microsoft Office, including Outlook, Word, and Excel.
- Attention to detail and accuracy.
- Effective/professional communication skills (written and oral)
Job Summary
Full Time
Wholesale
$59k-74k (estimate)
05/19/2024
06/12/2024
VANCOUVER, BRITISH COLUMBIA
100 - 200
2016
CASEY HOYT
$50M - $200M
Wholesale
Related Companies
The job skills required for Claims Resolution Specialist include Microsoft Office, Attention to Detail, Insurance Policies, etc. Having related job skills and expertise will give you an advantage when applying to be a Claims Resolution Specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Claims Resolution Specialist. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Claims Resolution Specialist positions, which can be used as a reference in future career path planning. As a Claims Resolution Specialist, it can be promoted into senior positions as a Claims Adjuster III that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Claims Resolution Specialist. You can explore the career advancement for a Claims Resolution Specialist below and select your interested title to get hiring information.
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