Job Description
In office position; Contract to Hire
-Opportunity for Hybrid (1 week in office; 1 week remote) after 9 months
-Medical/Dental Claims Experience required
Responsibilities
- Research and correct any claim discrepancies for assigned partner offices.
- Directly address all insurance denials received. (within 3 business days or less)
- Communicate directly with partner offices to request any additional information needed for claim payment.
- File secondary claims as needed with supporting documentation.
- Insurance aging report roll up for all partner offices.
- Registration and maintenance of online portals for Insurance companies.
- Follow up and resolve all communication requests. (responses within 48 hours or less)
- Ensure personal achievement of productivity standards and performance metrics as directed by supervisor.
- Complete other projects as assigned.
PPO - more phone base and less access to Insurance portals
- Max 55 claims
- Min 45 claims
Medicaid -more insurance portal base but yes, we still call insurance companies.
- Max 65 claims
- Min 55 claims
Attire: Business Casual
#MedixSouth