Medical Claims Research Analyst for Cranial Technologies handling insurance claims for pediatric treatments. Collaborating within a detail-oriented team to optimize claims resolution and payment processing.
Responsibilities
Follow-up on claims with insurance companies every two weeks, or as needed
Document all correspondence, payment remits and phone calls into system
Ensure insurance payments are correct according to patient benefits and contracts
Process and document electronic payments daily
Provide support to centers nationwide regarding patient claims and balances due
Communicate with patients in detail regarding payments, denials and appeal information
Provide spreadsheet with full detail of aged accounts.
Identify, track and report insurance payment/denial trends
Communicate with patients regarding unexpected balances
Research and resolve claims processing error and resolve processing issues
Requirements
High School Diploma or Equivalent
1-2 years of customer service or related experience
Heath insurance experience preferred
High attention to detail
Investigative, curious and problem-solving mindset
Exceptional communication and human relations skills in working with people from diverse backgrounds
Strong organizational skills
Ability to multi-task
Professional image in appearance, words and actions
Benefits
Medical, Vision, and Dental Insurance
401k Retirement Plan
3.5 Weeks Paid Time Off plus 7 company-paid Holidays
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