- Answer phones and respond to client inquiries related to payments made on their behalf.
- Make outgoing calls to clients, medical providers, and insurance companies resolving any gaps
- Identify, research and resolve client issues.
- Ensure payment processing timeliness and accuracy are met.
- Send follow up letters for approvals and / or denial letters.
- Experience in the Revenue Cycle: Medical Billing, Medical Collections, Insurance Follow up etc. required.
- Understanding of EOBs, Form 1500 and UB-04's.
- Solid understanding of payor / insurance methodologies
- Ability to read and identify missing Clinical Documentation, Enrollment; Payment Terms, out of pocket expenses; Benefits Coordination with other insurance coverage.
- Bi - Lingual Spanish
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- Work in company Remote job
Medical Only WC Claims Service Representative
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Medical Claims - Glastonbury - J. Morrissey
Description
Medical Claims ProcessorJ. Morrissey, in partnership with our Client, is seeking a Medical Claims Processor. At this 3rd Party Administrator, you will be working with healthcare claims pertaining to benefits and payments.
Monday through Friday: 11:30am - 8:00pm
Pay Rate: $23.00 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:
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