Claims Clerk reviews insurance claim forms and supporting documents for completeness and accuracy and obtains missing information as necessary. Inputs claim information into system for processing. Being a Claims Clerk verifies coverage eligibility. Calculates settlement amounts according to guidelines. Additionally, Claims Clerk processes routine claim payments. Requires a high school diploma or equivalent. Typically reports to a supervisor. The Claims Clerk works under the close direction of senior personnel in the functional area. Possesses a moderate understanding of general aspects of the job. May require 0-1 year of general work experience. (Copyright 2024 Salary.com)
Job Summary:
We are seeking a detail-oriented and experienced Medical Biller Claims Clerk to join our team. The ideal candidate will have a strong background in medical billing, particularly with experience using web portals such as Availity, Office Ally, and BCBS/UHC. The Medical Biller Claims Clerk will be responsible for handling denied claims and ensuring they are corrected and resubmitted for payment. This role requires a thorough understanding of medical billing procedures, insurance guidelines, and the ability to communicate effectively with insurance companies and healthcare providers.
Key Responsibilities:
Process and submit medical claims to insurance companies through web portals such as Availity, Office Ally, and BCBS/UHC.
Review and verify patient billing information for accuracy and completeness.
Identify and resolve denied claims by researching the reasons for denial, correcting errors, and resubmitting claims.
Communicate with insurance companies and healthcare providers to obtain necessary information and resolve discrepancies.
Monitor and follow up on unpaid or denied claims to ensure timely reimbursement.
Maintain accurate records of claims, payments, and denials.
Stay up to date with insurance policies, regulations, and billing codes.
Assist with patient billing inquiries and provide excellent customer service.
Collaborate with the billing team to improve processes and ensure efficient workflow.
Requirements:
High school diploma or equivalent; additional certification in medical billing or healthcare administration is a plus.
Minimum of 2 years of experience in medical billing, with a focus on using web portals such as Availity, Office Ally, and BCBS/UHC.
In-depth knowledge of medical billing procedures, insurance guidelines, and coding (CPT, ICD-10).
Proven experience in handling and resolving denied claims.
Strong attention to detail and accuracy.
Excellent communication and interpersonal skills.
Proficient in using billing software and electronic health records (EHR) systems.
Ability to work independently and as part of a team.
Strong organizational and time-management skills.
Preferred Qualifications:
Certification as a Certified Professional Biller (CPB) or Certified Coding Specialist (CCS).
Familiarity with additional web portals and insurance providers.
Experience in a healthcare setting, particularly in billing or accounts receivable.
How to Apply:
Interested candidates should submit their resume to ShreveportLA@snelling.com. Please include "Medical Biller Claims Clerk Application" in the subject line.
We are an equal opportunity employer and welcome applications from all qualified individuals. We thank all applicants for their interest; however, only those selected for an interview will be contacted.
Job Type: Full-time
Pay: $15.00 - $18.00 per hour
Expected hours: 40 per week
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Work Location: In person