Coordinates, monitors, and manages follow-up on unpaid claims, including reimbursement appeals for unpaid and inappropriately paid claims.
The role identifies and resolves billing errors, processes daily correspondence, appeals denied claims, updates account information, and supports collections efforts by obtaining insurance details, authorizations, and patient demographics when needed.
This position also maintains accurate account records, supports team productivity goals, and works with CPT and ICD-10 coding knowledge in a healthcare claims environment.
Requirements & Qualifications
Education
- High school diploma or equivalent certification required
- Associate degree from a two-year college preferred, or an equivalent combination of education and experience
Experience
- 3 to 5 years of healthcare claims reimbursement and denial resolution experience
- Knowledge of major commercial payers, including Aetna, BCBS, Cigna, and UHC, as well as Medicare and Medicaid guidelines
Skills and Abilities
- Strong computer skills, including Microsoft Word and Excel
- Ability to work accurately on multiple tasks in a fast-paced environment with low to moderate supervision
- Excellent verbal and written communication skills
- Professional telephone etiquette
- Ability to maintain confidentiality and HIPAA compliance
- Dependability in production and attendance
- Strong organization and time management skills
Benefits & Perks
- Paid time off
- Health, life, vision, dental, disability, and AD&D insurance
- Flexible spending accounts / health savings accounts
- 401(k)
- Leadership and professional development opportunities
Location
Florida, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
2 months ago
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