- Prepare, edit and ensure all claims are submitted accurately and timely per payer contract and guidelines.
- Access client files and payer websites if necessary to verify information.
- Provide timely responses to all written correspondence inquiries regarding claim/account status.
- Manage claim assignments, via work queues and/or work lists and ensure proper follow up is performed on the accounts for cash resolution. Keep supervisor advised of any compliance, system(s), and/or payer trend issues which may lead to untimely or inaccurate completion of claim submission/resolution.
- Contact insurance carriers on a daily basis for claim status and patient information either by phone or website; determine reason for the lack of payment or underpayment.
- Complete all assignments according to schedule.
- Achieve and consistently maintain daily, weekly and monthly productivity and quality goals as determined by departmental needs and standards.
- Must have the ability to Identify/resolve claim and or payer issues as they occur.
- Perform other tasks as assigned to support the goals of the organization.
- Need high speed internet at home and dedicated work space.
#MBX
Pay Rate: $16-19 per hour
Required
Preferred
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Identify/Resolve Problems
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Typing Skills Min 35 wpm
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Time Management
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Microsoft Office
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English written/verbal
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Customer Service
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Computer Skills
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Communication Skills
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Claims Processing
Preferred
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Thought Provoking: Capable of making others think deeply on a subject
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Team Player: Works well as a member of a group
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Enthusiastic: Shows intense and eager enjoyment and interest
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Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well
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Dedicated: Devoted to a task or purpose with loyalty or integrity
Preferred
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Work-Life Balance: Inspired to perform well by having ample time to pursue work and interests outside of work
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Ability to Make an Impact: Inspired to perform well by the ability to contribute to the success of a project or the organization
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Self-Starter: Inspired to perform without outside help
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Goal Completion: Inspired to perform well by the completion of tasks
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Flexibility: Inspired to perform well when granted the ability to set your own schedule and goals
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.
