Claims examiner serp_jobs.h1.location_city

Job Description

Job Description

SUMMARY :

This position is responsible for investigating claim denials; performing claim rebills; scanning & mailing documents; handling large volumes of documents; researching using hospital and insurance portals; opening, sorting, and importing incoming correspondence; contacting health insurance companies in order to obtain the status of previously submitted appeals.

DUTIES AND RESPONSIBILITIES :

• Investigates Claims Denials.
• Handles large volumes of documents, including accurately scanning and mailing documents.
• Utilizes increased knowledge of the industry, hospital revenue cycle, and payers / insurance companies to document the account and provide information and details to support paralegal’s / attorney’s pursuit for additional reimbursement.
• Works within the client’s Patient Accounting system, payer portals and / or websites, and will utilize proprietary software to research accounts in the work queue.
• Is comfortable, skilled, assertive, cordial, and professional on the telephone to follow up on submitted appeals.
• Opens, sorts, and imports incoming correspondence into the office database.
• Navigates through various computer systems and applications to find information about insurance claims.
• Greets and assists onsite guests.
• Answers calls for Claim status and Appeal status.
• Performs any other administrative duties as may be necessary.
• Performs other related duties as assigned by management.

QUALIFICATIONS :

Previous experience in office administration or another related field.

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COMPETENCIES :