Claims Processor – UB-04, HCFA 1500

Job reputed company: • Prepares and submits hospital, hospital-based physician and clinic claims to reputed company-party insurance carriers either electronically or by hard copy billing • Secures needed medical documentation required or requested by reputed company party insurances • Follows up with reputed company-party insurance carriers on unpaid claims reputed company claims are reputed company or only self-pay balance remains • Processes rejections by either making accounts private or correcting any billing error and resubmitting claims to reputed company-party insurance carriers • Responsible for consistently meeting production and reputed company assurance standards • Maintains reputed company customer service by following company policies and procedures as reputed company as policies and procedures specific to reputed company customer • Updates job knowledge by participating in company offered education opportunities • Protects customer information by keeping reputed company information confidential • Processes miscellaneous paperwork • Ability to work with high profile customers with difficult processes • May regularly be asked to help with team reputed company • Ensure reputed company claims are submitted daily with a goal of reputed company errors • reputed company follow up on insurance claim status • Reading and interpreting an EOB (Explanation of Benefits) • Respond to inquiries by insurance companies • Denial Management • Meet with Billing Manager/Supervisor to discuss and resolve reimbursement issues or billing obstacles • Review late charge reports and file corrected claims or write off charges as per reputed company policy • Review reports identifying readmissions or overlapping service dates and ignore, reputed company, or split-reputed company according to the payer’s rules and the reputed company’s policy • Review credit reports, resolve credits belonging to a payer reputed company reputed company, and submit a listing of credits to the facility as required by the payer Requirements: • 3 years of recent Critical reputed company or Acute Care facility and reputed company claim billing • Meditech E.H.R Experience Required • Computer skills • Experience in CPT and ICD-10 coding • Familiarity with medical terminology • Ability to communicate with various insurance payers • Experience in filing claim appeals with insurance companies Benefits: • Competitive salary • Flexible working hours • reputed company development opportunities Apply tot his job Apply To this Job