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Insurance Claims Specialist

Insurance Claims Specialist

Job Description

RxDevelopment & Associates Inc. is seeking applicants to fill positions for Medical Insurance Claims Specialist.  

Insurance Claims Specialist Job Purpose: Generates revenue by monitoring patient accounts to ensure prompt payment from insurance carriers.

Job Requirements

Insurance Claims Specialist Job Duties:

_ Medical Collections: Utilize A/R reports and identify accounts that are past timely

payment. Make contact with insurance company, adjusters, doctor’s offices, and

patients to learn status of payment.

_ Appeals: Write appeals to insurance companies to overturn pending, incorrect

reimbursement, or denied bills.

_ Medical Billing: Re-bill claims that are lost by insurance company, and provide

substantiating documentation if necessary.

_ Documentation: Obtain necessary information (updated diagnosis codes, billing

codes, claim numbers, dates of injury, claims addresses etc...) and submit to

insurance carrier to affect payment of claim.

_ Physician/Insurance/Patient Interaction: Contact physician’s office, insurance

adjusters, or patients to relay and/or obtain pertinent information to affect the

collection of a claim.

Skills/Qualifications: Quality Focus, Productivity, Time Management, Organization, Attention to

Detail, Documentation Skills, Analyzing Information , General Math Skills, Resolving Conflict,

Litigation, Basic Typing and Computer Skills, Medical Billing Experience.

Job Snapshot

Employment Type Full-Time
Job Type Health Care
Education High School
Experience At least 2 year(s)
Manages Others No
Relocation No
Industry Insurance
Required Travel Negligible
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Insurance Claims Specialist

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