Top 24 Senior claims Jobs in Jackson Ms

Specialist-Accounts Receivable Follow Up Senior
Baptist Memorial Health Care —Jackson, MS
- Customer service
- Computer literacy
- Medical office experience
Senior Systems Analyst, ITS & Claims
Blue Cross & Blue Shield of Mississippi —Flowood, MS
- Full-time
- Microsoft Excel
- Computer Science
- 5 years
Senior Client Service Manager
Gallagher —Ridgeland, MS
- Full-time
- Hybrid work
- High school diploma or GED
- Bachelor's degree
- Mentoring
- Paid parental leave
- Health savings account
Senior Account Manager (Fully Remote)
Insurance Office of America, Inc. —Jackson, MS
- $80,000 - $100,000 a year
- Full-time
- Microsoft Outlook
- 5 years
- Research
- Paid holidays
- Health insurance
Quick Apply
Senior Data Science Consultant, Insurance - Remote
CSAA Insurance Services, Inc. —Jackson, MS
- $160,155 - $213,550 a year
- Full-time
- 7 years
- US work authorization
- Experience equivalent to degree accepted
- 401(k) matching
Senior Business Analyst - Meritain Health
CVS Health —Jackson, MS
- $46,988 - $122,400 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Health insurance
- Dental insurance
8h
Sr. Litigation Specialist -Remote
CSAA Insurance Services, Inc. —Jackson, MS
- $89,865 - $119,800 a year
- Extended hours
- Remote
- Bilingual
- Bachelor of Science
- High school diploma or GED
- 401(k) matching
2d
Senior Underwriter, Middle Market Multi-Industry
Liberty Mutual —Jackson, MS
- $69,000 - $179,000 a year
- Full-time
- Office
- 3 years
- Analysis skills
Senior Account Manager - Commercial Lines
Insurance Office of America, Inc. —Jackson, MS
- $80,000 - $100,000 a year
- Full-time
- Microsoft Outlook
- 5 years
- Research
- Paid holidays
- Health insurance
Quick Apply
Senior Actuarial Analyst
Blue Cross & Blue Shield of Mississippi —Flowood, MS
- Full-time
- Mid-level
- Office
- SQL
MPPS Policy Deviations Senior Manager
CVS Health —Jackson, MS
- $67,900 - $182,549 a year
- Full-time
- Nursing
- 5 years
- Bachelor's degree
- Health insurance
- Dental insurance
1d
Certified Senior Pharmacy Technician
Walgreens —Jackson, MS
- $18.75 - $24.50 an hour
- Weekends as needed
- Computer literacy
- Basic math
- English
- Continuing education credits
- Health insurance
Commercial Senior Auto Claims Adjuster- Remote
CSAA Insurance Services, Inc. —Jackson, MS
- $27.55 - $30.61 an hour
- Full-time
- Bilingual
- High school diploma or GED
- US work authorization
- Paid training
- On-the-job training
3d

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senior claims jobs near jackson ms

Specialist-Accounts Receivable Follow Up Senior

Baptist Memorial Health Care -
Jackson, MS

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Job Details

Qualifications

Computer operation
Customer communication
National Correct Coding Initiative (NCCI) guidelines
Customer service
Health insurance policy knowledge
CMS
Patient service
CMS regulatory compliance
Medicare regulations
Medical billing and coding communication with insurance companies
Financial counseling
Desktop applications
Centers for Medicare & Medicaid Services (CMS) billing regulations
Medicaid regulations
Medicaid
Typing
Productivity software
10 key typing

Full Job Description

Overview

Job Summary

The Accounts Receivable Follow Up Specialist performs all collection and follow up activities with third party payers to resolve all outstanding balances and secure accurate and timely adjudication. This position is responsible for net and gross outstanding in accounts receivable, percentage of accounts aged greater than 90 days, cash collections, and denials resolution in support of the team efforts in the achievement of accounts receivable performance goals. The Specialist performs daily activities related to the successful closure of aged accounts receivable.

Responsibilities

Performs online account status checks and contacting payers to follow-up on outstanding claim balances of assigned accounts in work queues.
Clearly documents in EMR system the patient account notes, the payment status of the account, and/or actions taken to secure payment. If applicable, requests account for additional follow up activity within a prescribed number of days in accordance with payer specific filing requirements or processing time required for insurance to complete processing.
Performs required actions to resolve the account balance promptly by submitting appeals, correcting account information, coordinating requests for medical records, requesting and/or performing posting of account adjustments, requesting an account rebill and any and all other actions necessary to secure account payment and/or bring the account to successful closure.
Documents, tracks, and ensures a reasonable turnaround time of receipt of any outstanding documents required from external departments.
Responds to claim denials from payers such as inability to identify the patient, coordination of benefits, non-covered services, past timely filing deadlines, and ensures all information is provided to the payer.
Documents all actions taken on accounts in the EMR system account notes to ensure all prior actions are noted and understandable.
Informs the supervisor of any problems or changes in payer requirements and exercises independent judgment to analyze and report repetitive denials to take appropriate corrective action.
Achieves established productivity and quality standard as determined by the Baptist Productivity and Quality Expectations Documentation
Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact patient account collections. Adheres to internal controls for applicable state/federal laws, and the program requirements of accreditation agencies and federal, state and private health plans.
Seeks advice and guidance as necessary to ensure proper understanding.
Effectively utilizes payer websites as needed in the execution of daily tasks.
Conducts account claim status and follow up and resolves claim payment denials.
Monitors assigned work queues at all sources and ensures expeditious resolution while working with other departmental representatives in resolution.
Reports unresolved issues and concerns impeding the collection process and to ensure successful account resolution.
Complies with patient confidentiality policies for the retention of patient health information, or when handling, distributing, or disposing of patient health information.
Performs other duties as assigned by the Supervisor.

Specifications

Experience

Minimum Required

Experience in the healthcare setting or educational coursework

Preferred/Desired

Two (2) year experience in physician’s office or hospital setting.

Education

Minimum Required

Preferred/Desired

Training

Minimum Required

PC skills and keyboarding Working knowledge of 10 key, typing and computers. Proficiency in Microsoft Office

Preferred/Desired

Knowledge of insurance billing and collections and insurance guidelines.

Special Skills

Minimum Required

Ability to type and key accurately, problem solving, written an d oral communication skills, financial counseling skills - knowledge of insurance billing (both hospital and professional settings) and collections - knowledge of insurance guidelines as it relates to CMS guidelines, TennCare and/or Medicaid based by state specified requirements. Ability to recognize and communicate to clinical staff or designee when insurance companies require additional review because of NCCI, CCI , LMRP, Mutually Exclusive and Medical Necessity edits. Effective Verbal, written and customer service skills as it relates to patients and insurance companies. Able to create communications to patients and insurance companies as needed to resolve issues to complete billing/claim processes.

Preferred/Desired

Knowledge of ICD-9, ICD-10, CPT and HCPCS codes and certification and/or degree in Healthcare Administration Business, Finance or related fields preferred.

Licensure

Minimum Required

Preferred/Desired

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Refine Your Search

senior claims jobs in jackson ms

Specialist-Accounts Receivable Follow Up Senior

Senior Systems Analyst, ITS & Claims

Senior Client Service Manager

Senior Account Manager (Fully Remote)

Senior Data Science Consultant, Insurance - Remote

Senior Business Analyst - Meritain Health

Sr. Litigation Specialist -Remote

Senior Underwriter, Middle Market Multi-Industry

Senior Account Manager - Commercial Lines

Senior Actuarial Analyst

MPPS Policy Deviations Senior Manager

Certified Senior Pharmacy Technician

Commercial Senior Auto Claims Adjuster- Remote

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