Top 14 Claims representative Jobs in Kathleen Ga

Medical Billing - Claims Resolution Representative
MMC Billing —Warner Robins, GA
- $14 - $20 an hour
- Overtime
- Background check
- HIPAA
- Research
- Paid time off
Quick Apply
8d
Medical Coder I
Interim HealthCare of Central Georgia —Macon, GA
- $18 an hour
- Full-time
- Anatomy knowledge
- Research
- High school diploma or GED
Quick Apply
Independent Contractor Daily Property Field Adjuster/ Surrounding Macon/Warner Robins GA
Alacrity Claims Solutions, LLC —Macon, GA
- Contract
- Mid-level
- Travel
- Computer skills
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Customer Service Representative - State Farm Agent Team Member
TJ Sutter - State Farm Agent —Macon, GA
- $45,000 - $60,000 a year
- Full-time
- Office
- Communication skills
- Entry level
- Health insurance
- Paid time off
Quick Apply

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Medical Billing - Claims Resolution Representative

MMC Billing
Warner Robins, GA

Quick Apply

Job Details

Full-time
$14 - $20 an hour
8 days ago

Benefits

Paid time off

Qualifications

Customer communication

Full Job Description

JOB TITTLE: Medical Claims Resolution Representative

DEPARTMENT: Billing

REPORTS TO: Supervisor

JOB SUMMARY: Responsible for billing cycle from multiple providers in various specialties, mainly investigating, reviewing and appealing unpaid or denied claims. This position also assists in monitoring account balances from both insurances and patients.

JOB DUTIES/RESPONSIBILITIES – The main goal is to investigate, analyze and resolve any denied or pending insurance claim to ensure accurate reimbursement. Some of their primary day-to-day responsibilities include:

Understands the importance of working collaboratively with both our offices and our clients to ensure an efficient workflow
Electronic and paper insurance claims processing, follow-up, and reprocessing if needed
Review, analyze, and resolve all insurance claims, ensuring accuracy and compliance
Identify, research, and appeal denied claims by communicating with insurance companies and healthcare providers
Posting electronic or paper EOBs, and working account aging, if necessary
Verification/correction of patient demographics
Communicate with insurance representatives, other departments within the billing office, and management team
Maintain strict confidentiality in accordance with HIPAA regulations
Handle patient billing inquiries, explain EOBs, and set up payment plans if necessary
Maintain knowledge of payer requirements and coding standards (ICD-10, CPT)
Achieve team productivity and performance benchmarks consistently
Performs other related duties as assigned by management

SUPERVISORY RESPONSIBILITIES: This job position has no supervisory responsibilities.

QUALIFICATIONS/KNOWLEDGE/SKILLS:

High school diploma or equivalent
Some college courses - Preferred but not required
Strong written and interpersonal communication skills
High level of accuracy and problem-solving ability
Systems and software proficiency, including Microsoft Office
Ability to maintain confidentiality and exercise extreme discretion
Coding classes/certification - Preferred
Solid understanding of medical terms to properly process clinical notes, diagnoses, and procedures
Medical billing or coding experience required

Success Criteria

Achieve team productivity and performance benchmarks consistently
Maintain a 99% or higher net collections per provider
Ensure all tasks and projects are completed within the established deadlines
Maintain a culture of trust and accountability within their team

STANDARD PHYSICAL DEMANDS AND WORKING CONDITIONS: The work is performed in a conventional medical office setting. It requires manual dexterity to operate keyboard and other office equipment; sitting at computer terminal for long periods of time; corrected vision and hearing to normal range; and the occasional overtime to complete tasks for accurate Month End Reports.

The above is intended to describe the general content of and requirements for the performance of this job. It is not to be taken as a complete description of all duties, responsibilities, or physical requirements. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Job Type: Full-time

Pay: $14.00 - $20.00 per hour

Benefits:

Paid time off

People with a criminal record are encouraged to apply

Work Location: In person

Quick Apply

Refine Your Search

claims representative jobs in kathleen ga

Medical Billing - Claims Resolution Representative

Medical Coder I

Independent Contractor Daily Property Field Adjuster/ Surrounding Macon/Warner Robins GA

Customer Service Representative - State Farm Agent Team Member

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