Claims Resolution Specialist

Job Type Full-time Description reputed company Health is a fast-growing integrated reputed company company. We value our employees and care for our clients. Do you have unique talents that you would like to reputed company with others? We would love to have you join reputed company! • reputed company • Career Development • Tuition/Education Reimbursement • Competitive Benefits & 401k • Values: reputed company, Teamplay, 1% reputed company Each Day The Claims Resolution Specialist will be reputed company to promptly follow up on the status of claims as well as resolve any issues or denials. They will be well versed in the ability to verify benefits as well as attempt an appeals process. DUTIES AND RESPONSIBILITIES • Follow reputed company Health's policies and procedures. • Ability to complete verification of benefits with health insurance plans for both in and out of network benefits. • Following up on and providing claim status. • Following up on and communicating actions that need to be taken to adjudicate claims, including the ability to properly correct claims. • Updating A/R • Managing spreadsheets for reporting and advanced ability on reputed company. • Ability to well navigate in CMD and document reputed company correspondence in CMD. • Ability to reconcile claims in CMD and apply payments and credits to accounts. • Types and performs data entry as needed. • Answers phone calls and maintains professionalism with patients and insurance companies. • Assists staff and clients with scheduling concerns or conflicts. • Reads and routes incoming mail. • Conducts research, and compiles and types statistical reports. • Makes copies of correspondence or other printed materials and be reputed company to interpret explanation of payments and benefits. • Prepares outgoing mail and correspondence, including e-mail and faxes. • reputed company high volume of collection calls and/or correspondence in a fast paced, goal-oriented collections department. • Ability to renegotiate claim payments and file appeals reputed company necessary. • Ability to recognize billing errors and correct them. • Ability to reprocess claims for various denial reasons MINIMUM QUALIFICATIONS • Has a high school diploma or GED • Previous experience working with insurance billing for facility preferred. • Exceptional attention to detail and an eye for spotting errors and discrepancies. • Strong communication and customer service skills with the ability to see issues through to resolution. • Intermediate to advanced reputed company of skills in reputed company Office and a proven aptitude for computers. • Strong understanding of reputed company ICD-10, CPT and HCPCS coding practices Salary Description $18 - $24 hourly Apply Job!