Top 14 Claims adjuster Jobs in Thomasville, Ga

Medical Claims & Billing Specialist
Southeast Neurology and Pain Management —Thomasville, GA
- Full-time
- Mid-level
- 3 years
- Bachelor's degree
- Health insurance
- Dental insurance
Quick Apply
5d
Senior Claims Consultant
HUB International —Tallahassee, FL
- Full-time
- 5 years
- Microsoft Office
- High school diploma or GED
- Wellness program
- Paid parental leave
11d
Claims Representative
Auto-Owners Insurance Company —Tallahassee, FL
- Full-time
- Driver's License
- Bachelor's degree
- US work authorization
- Paid holidays
- Paid time off
Quick Apply
Inside Physical Damage Appraiser
Auto-Owners Insurance Company —Tallahassee, FL
- Full-time
- Hybrid work
- Mid-level
- 3 years
- Driver's License
- Paid holidays
- Paid time off
Quick Apply
Experienced Catastrophe Claims Representative
Auto-Owners Insurance Company —Tallahassee, FL
- Multiple hires
- Military
- Mid-level
- Driver's License
- Paid holidays
- Health insurance
Quick Apply
Commercial Trucking Adjuster
TheBest Claims Solutions —United States
- $80,000 - $90,000 a year
- Remote
- Mid-level
- 3 years
- Bachelor's degree
7d

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Medical Claims & Billing Specialist

Southeast Neurology and Pain Management
Thomasville, GA

Quick Apply

Job Details

Full-time
5 days ago

Benefits

Health insurance
Dental insurance
Paid time off
401(k) matching
Life insurance

Qualifications

Medical claims processing
Overseeing health insurance pre-certification
Medicare
Commercial insurance knowledge
Spreadsheets
Workers' compensation insurance knowledge
Medical coding experience in outpatient clinics
Medicaid health insurance
Insurance medical billing
Patient billing
Medical explanation of benefits reviews
Medical claims submission
Medicaid
Medical billing account reconciliation
Productivity software
Patient collections management

Full Job Description

Southeast Neurology and Pain Management is seeking a Medical Billing & Coding Specialist to join our growing team. Our company has locations in Tallahassee, FL, Panama City, FL and Thomasville, GA. Our billing team is located in our Thomasville location and processes claims for all 3 locations. This position will be responsible for timely and accurate claims processing for neurology and pain management clinical visits, and procedures to include preparing and submitting claims, resolving denials, and assisting patients with billing inquiries.

Our ideal candidate will be highly organized, able to thrive in a fast-paced environment and have exceptional attention to detail. Being able to manage multiple priorities and meet deadlines as well as having a “can-do” attitude are critically important.

This full-time position offers a highly desirable 4-day work week with a schedule of 7am-5pm Monday-Thursday with Fridays off! Additionally, a competitive salary, generous benefits package and room for upward career growth make this an excellent opportunity for the right candidate!

Job Duties:

Audits and ensure claim information is complete and accurate.
claims submission of office visits, outpatient procedures, urinary drug screens, DME, MRI, and Chronic Care Management.
Ensures accurate and timely billing of HCFA 1500 claims.
Ensures that files are documented with appropriate information (i.e., date stamped, logged, signed, etc.).
Creates logs for providers of pending medical encounters and or encounters with errors.
Work directly with other billing staff and management to meet end of month closing deadlines.
Able to work with clearinghouse rejections, print, and mail secondaries.
Address inquiries from insurance companies, patients, and providers.
Understands CPT, ICD10, HCPCS coding and modifiers.
Knowledge of third-party payers, HMOs, PPOs, Medicare, Medicaid, Worker's Compensation, etc.
Knowledge of ERAs, EOBs
Knowledge of payer specific/LCD guidelines
Understanding of health plan benefits (deductibles, copays, coinsurance) and eligibility verification
Must be proficient with spreadsheets and word processing applications.

Qualifications/Requirements:

Minimum of 3 years’ experience with medical billing or revenue cycle in a medical setting
Experience with Medicare, Medicaid, Commercial insurance plans, Workers’ comp, and Personal Injury cases.
Knowledge of claims submission of office visits, outpatient procedures, urinary drug screens, DME, MRI, and Chronic Care Management
Knowledge of medical billing rules, such as coordination of benefits, modifiers, and understanding of EOBs and ANSI code denials.
Excellent knowledge of CPT coding, ICD.10 coding and medical pre-certification protocols required.
Excellent computer skills and familiarity with Microsoft Office
Comfortable working in a growing, dynamic organization and able to navigate change.
Self-motivated with ability to multi-task, prioritize work in a fast-paced, team environment.
Bachelor’s degree preferred.
Experience using eClinicalWorks preferred.
Experience with Pain Management preferred.

This position has the possibility of being a work-from-home position once fully trained.

Benefits:

401(k) matching
Dental insurance
Health insurance
Life insurance
Paid time off

Work Location: In person

Quick Apply

Refine Your Search

claims adjuster jobs in thomasville, ga

Medical Claims & Billing Specialist

Senior Claims Consultant

Claims Representative

Inside Physical Damage Appraiser

Experienced Catastrophe Claims Representative

Commercial Trucking Adjuster

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