
Claims Specialist
1 day ago
We are seeking a meticulous and organized individual to join our team as a Claims Specialist.
About the JobThis role involves working closely with healthcare providers to ensure accurate and timely claims submission, verification, and resolution. The ideal candidate will have excellent attention to detail, strong communication skills, and the ability to multitask in a fast-paced environment.
Responsibilities- Insurance verifications and benefits for new patients and current patients that require verification or updates.
- Code claims according to insurer guidelines, ensuring accuracy and compliance.
- Scrub claims for potential denials, researching and resolving any issues.
- Submit claims electronically within 72 hours of service date, following up on any delays or issues.
- Correct and resubmit denied claims, communicating with insurers as needed.
- Pull reports and EOBs from payers' websites, reconciling payments with our bookkeeper.
- Maintain accurate credentialing records for each provider, ensuring seamless interactions with payers.
- Strong analytical and problem-solving skills.
- Excellent written and verbal communication skills.
- Able to work independently and as part of a team.
- Familiarity with medical billing software and processes.
A dynamic work environment with opportunities for growth and development, competitive compensation, and a comprehensive benefits package.
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