Senior Medical Claims Processor - $23 to $25 Per Hour - J. Morrissey

Senior Medical Claims Processor - Healthcare 

Our client, a large 3rd party Administrator that processes accurate insurance payments for thousands of individuals, is seeking a senior level candidate to process medical claims. This is a team that supports the West Coast; Please note the schedule below. 

Monday through Friday 40 hours per week: 11:30am - 8:00pm

Pay: $23.00 to $25.00 Per Hour 

Easy to get too, Rural town, Free Onsite Parking, Café in Building!

Job Responsibilities:

This is a fast paced / high volume department that answer phones and respond to client inquiries related to payments made on their behalf to insurers or medical providers.

• Lead the claim team through managing, training and promoting team work. 
• Ensure service contract guarantees are met.
• Act as a resource and point person to the team for any escalated issues, questions, concerns etc. 
• Update policies and procedures.
• Recommend process and workflow improvements. 
• As needed make outgoing calls to clients, medical providers, insurance companies to resolve coding, payment, billing, and documentation clarification.
• Assist in identifying, researching and resolving client issues.
• Uses knowledge of Medicare, Medicaid and commercial insurance along with primary and secondary insurance claims

Required Skills:

• Experience with Medical Insurance including- Insurance follow up / Medical billing and payment / Billing resolution/ Insurance Claims
• Understanding of Medicare, Medicaid, commercial insurance and secondary insurance
• Ability to read and understand missing Clinical Documentation, Clinical coding Enrollment; and Payment Terms related to insurance premiums and out of pocket expenses; Benefits Coordination with other insurance coverage.
• STRONG COMMUNICATION SKILLS–This is a highly interactive role . The chosen candidate will have experience with customer service/ call center experience from an Insurance, billing or medical processing payment environment.
• Technology and Computer Skills: Proficiency with all MS Office applications (Excel, Word, Outlook, etc.) Billing and Insurance Software
• Ability to speak Spanish preferred

 

 

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