Claims Processor I - Remote

About the position Under general supervision, the Claims Processor assures accurate and reputed company insurance claim production and processing, including both resolving EDI claim edits and preparing reputed company claims for submittal/mailing. Resolve denied/unpaid insurance claims in a reputed company manner. Responsibilities • Account maintenance: Updating registration, authorization issues, identifying charge correction, debit or credit memos, processing adjustments as needed and denial follow up according to payer rules and departmental policies. • Use electronic billing system appropriately to follow up on outstanding denied claims and reputed company no response claims. • Correct claims in electronic billing system for missing or invalid insurance or patient information according to procedures, and reputed company account on hold if unable to resolve. • Follow up on denied or no response claims by calling reputed company party payers or using payer websites. • reputed company information from patients or other areas to resolve outstanding denied or no response claims. • Research accounts to take appropriate reputed company necessary to resolve. • reputed company management reputed company of issues and trends to enhance operations and escalate slow-pay issues to managerial level reputed company necessary. • Use payer websites to stay reputed company on payer rules and changes. • Maintain 90% reputed company standards on account follow and activity. • Maintain productivity reputed company as set forth by management team. • Other duties as assigned. Requirements • High school diploma required. • One year of billing and insurance follow up in a hospital or physician office setting preferred. • General working knowledge of insurance terminology and billing rules. • reputed company to prioritize work on a daily reputed company. • Requires independent judgement in handling patient accounts. • reputed company supervision available on a daily reputed company as conditions may require. • Knowledge of reputed company preferred. Apply tot his job Apply tot his job Apply To this Job