Bilingual Medical Claims Processor

Job Posted 12/19/2024
J. Morrissey & Company
Glastonbury, CT 06033
United States
Category Healthcare
Job Description
Bilingual Medical Claims

Work for a growing 3rd Party Administrator that focus's on Healthcare Claim payments nationally. These transactions are for healthcare benefits, and medical payments including deductibles and co-payments.

Monday through Friday: 11:30am - 8:00pm with 2 days 9:30am to 6:00pm

Pay Rate: $22.00 to $24.00 Per Hour based on Experience

Job Responsibilities:

Resolve client health premiums and out of pocket medical expenses by reviewing medical documentation and looking at gaps in medical documentation or records that could help with payment guidelines.

A representative list of duties:
  • Answer phones and respond to client inquiries related to payments made on their behalf.
  • Make outgoing calls to clients, medical providers, and insurance companies to resolve coding, payment, and billing issues.
  • Identify, research and resolve client issues.
  • Ensure payment processing timeliness and accuracy are met.
  • Send follow up letters approval and denial letters.

Required Skills:
  • Associate's Degree preferred
  • Must be able to read, write, and speak Spanish/English!
  • Experience with Insurance Follow up / Medical billing and payment resolution / Insurance Claims and EOBs.
  • Good understanding of Medicare, Medicaid, Commercial insurance.
  • Ability to read and identify missing Clinical Documentation, Enrollment; and Payment Terms, and out of pocket expenses; Benefits Coordination with other insurance coverage.
  • Proficient with Computers / Technology.

This role is in a very nice office building that is easy to access with Free onsite parking and a cafeteria.

INDH
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