
Healthcare Claims Processor
24 hours ago
Key Role: Medical Claims Specialist
Job Summary:
As a Medical Claims Specialist, you will play a vital role in reviewing and managing denied or aging claims in the client's billing system. Your primary responsibility will be to work claim queues to identify root causes of denials and submit appropriate documentation or corrections.
Responsibilities:
- Review and manage denied or aging claims in the client's billing system.
- Work claim queues to identify root causes of denials and submit appropriate documentation or corrections.
- Make outbound phone calls to insurance payers to check claim statuses, appeal denials, and resolve payment issues.
- Escalate recurring denial trends or system/process bottlenecks to the client's RCM lead.
- Maintain accurate and detailed notes of all payer interactions and claim activities.
Requirements:
Essential Skills and Qualifications:
- 1-3 years of experience in medical billing, revenue cycle management, or claims follow-up.
- Familiarity with payer portals and billing systems (e.g., Kareo, Athena, AdvancedMD).
- High attention to detail and ability to work independently on repetitive or process-heavy tasks.
- Strong written and verbal communication skills in English.
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