Medical Claims - Glastonbury - J. Morrissey

    J. Morrissey
    J. Morrissey Glastonbury

    2 days ago

    $49,920 (USD) per year
    Description
    Medical Claims Processor
    J. 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:
    • 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.
    Required Skills:
    • 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
    This role is in a very nice office building that is easy to access with Free onsite parking and a cafeteria.

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