Medical Claims Resolution Specialist
Full Time
Winston-Salem, NC 27103
Posted
Job description
This is a remote/hybrid eligible position based out of Winston-Salem, NC
THE TEAM YOU WILL BE JOINING:
- The largest EMS only billing company in the U.S.
- Growing organization with a flat, nimble structure that aids innovation
- Growth oriented culture focused on employee happiness and engagement
- Reporting to the Supervisor of Claims Management
WHAT WE OFFER YOU:
- Expanding company with exposure to management and opportunity to grow within the organization
- Strong culture of valuing and appreciating their employees
- Lots of fun events and ways to build relationships with coworkers
- Company benefits include Health, Dental, Vision, 401k with company match, tuition reimbursement and more!
- Remote work opportunities
- Bonuses paid twice a year!
WHY THIS ROLE IS IMPORTANT:
- You will make our clients successful by following up on claims, collecting and resolving outstanding account balances for ambulance transports to ensure the highest reimbursement possible is achieved.
- You will monitor overall client performance, identify potential loss or delay in revenue to ensure maximized reimbursement for assigned clients. You will also suggest solutions to maximize client performance.
- You will leverage your strong people skills to build and maintain internal and external relationships to best address client needs.
- You will impact the department, your coworkers, and the company as a whole by identifying process improvements and sharing feedback with your leadership.
- You will be a part of our success by supporting our company mission and values
THE BACKGROUND THAT FITS:
- High School diploma with at least 1-2 years of experience processing health insurance claims and/or denials or other healthcare accounts receivable experience
- Ability to holistically approach client performance by utilizing big picture analysis, critical and lean thinking, innovation, curiosity, tenacity, and consistent and timely follow through
- Driven to successfully collect money owed to clients
- Detail-oriented with a strong desire for accuracy
- Willingness to learn, understand, and work within specific compliance, client, and payer requirements
- Ability to organize, prioritize, and multi-task
- Willing and able to adapt to changes in work environment, procedures, priorities, and job duties
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