Medical Claims - Healthcare Customer Service Work for a growing Full-function 3rd Party Administrator that processes payments for thousands of individuals nationally. These volume transactions are associated with healthcare benefits, and medical payments that include deductibles and co-payments for medical and pharmaceutical claims. Monday through Friday: 11:30 am - 8:00 pm with 2 days 9:30 am to 6:00 pm Pay Rate: $22.00 to $24.00 Per Hour based on Experience Job Responsibilities: Resolve client... more details
Medical Claims - Healthcare Customer Service
Work for a growing Full-function 3rd Party Administrator that processes payments for thousands of individuals nationally. These volume transactions are associated with healthcare benefits, and medical payments that include deductibles and co-payments for medical and pharmaceutical claims.
Monday through Friday: 11:30am - 8:00pm with 2 days 9:30am to 6:00pm
Pay Rate: $22.00 to $24.00 Per Hour based on Experience
Job Responsibilities:
Resolve client health premiums and out of pocket medical expenses by reviewing medical documentation and looking at gaps in medical documentation or records that could help with payment guidelines.
A representative list of duties:
Answer phones and respond to client inquiries related to payments made on their behalf.
Make outgoing calls to clients, medical providers, insurance companies to resolve coding, payment, billing issues.
Identify, research and resolve client issues.
Ensure payment processing timeliness and accuracy are met.
Send follow up letters approval and denial letters.
Process health and dental insurance premium payments for clients.
Required Skills:
Associate’s Degree preferred
Experience with Medical Insurance including- Insurance follow up / Medical billing and payment / Billing resolution/ Insurance Claims
Good understanding of Medicare, Medicaid, commercial insurance and secondary insurance
Ability to read and understand missing Clinical Documentation, Clinical coding Enrollment; and Payment Terms related to insurance premiums and out of pocket expenses; Benefits Coordination with other insurance coverage.
STRONG COMMUNICATION SKILLS–This is a highly interactive role .
Technology and Computer Skills: Proficiency with all MS Office applications (Excel, Word, Outlook, etc.) Billing and Insurance Software
This role is in a very nice office building that is easy to access with Free onsite parking.
Job Abstracts is an independent Job Search Engine. Job Abstracts is not an agent or representative and is not endorsed, sponsored or affiliated with any employer. Job Abstracts uses proprietary technology to keep the availability and accuracy of its job listings and their details. All trademarks, service marks, logos, domain names, and job descriptions are the property of their respective holder. Job Abstracts does not have its members apply for a job on the jobabstracts.com website. Additionally, Job Abstracts may provide a list of third-party job listings that may not be affiliated with any employer. Please make sure you understand and agree to the website's Terms & Conditions and Privacy Policies you are applying on as they may differ from ours and are not in our control.
We would like to take a second to Welcome You to Job Abstracts, the nation’s largest Pure Job Board. With over 3.1 million job listings from 15,000+ Companies & Organizations, we help job searchers find careers that match their interests. As an anonymous user, you have probably discovered how easy our system is to use. However, you have just scratched the surface of what we can offer.
We encourage you to Register so you can use our most powerful features: searching with multiple terms, setting up multiple locations, establishing favorite companies, and accessing your search history. If you find a job you like, you can apply directly for it, and then, keep notes on it. We will also keep a lookout for jobs that match your search terms and email you when we find something you may like.
You can register for free and the system is free to use. If you like our system so far, click on Register and unlock the power required by serious job searchers.
Any time you conduct a search, the system shows you job matches, ranked by their Relevance Score (RS).
The score is calculated by a proprietary algorithm that uses Intelligent Machine Learning.
The Relevance Score tells you how well the job opportunity matches your search term or terms.
When not logged in, the system is limited to one search term. Scores for single term matches are usually lower.
When you register, log in, and set up multiple terms prioritized by importance, the jobs found for you will receive a much higher Relevance Score.