RESPONSIBILITIES
- Position Summary: Review all medical insurance claims for resolution and payment.
- Resolve any incoming inquiries or payment denials from insurance providers for payment. Research, compile, and respond to documentation requests from insurance carriers in a timely basis.
- Contact insurance carriers to collect on open account balances.
QUALIFICATIONS
- Required Qualifications: – The Claims Resolution Specialist must have excellent knowledge of insurance carrier billing and reimbursement with knowledge of medical terminology, ICD-9, and CPT codes. –
- Must have an in-depth understanding of explanation of benefits (EOB)
- At least one year of prior medical billing or medical collections experience. –
- EMR or GE Centricity Practice Management software experience preferred. –
- Medical Oncology, Radiology, Radiation, Laboratory, or Pathology experience preferred. –
- Excellent communication and interpersonal skills required.