Claims & Appeals Specialist

Our client is a busy Medical office located in Tarpon Springs. They are seeking a temporary Claims & Appeals Specialist to join their team. The ideal candidate will be able to prioritize tasks, multitask, and have high attention to detail.

Position Responsibilities:

• Follow up on claims from billing through final resolution
• Verify claims status with insurance
• Prepare and review claims for electronic and hard copy billing resubmission
• Denial and Appeal Management on all payers
• Correct any billing errors and resubmit claims to insurance carriers
• Reviewing and remittance advice for payment errors, denials, and under payments
• Be courteous and cooperate with patients, visitors, co-workers, and management

Qualifications:

• Strong organizational and communication skills
• High attention to detail, multitask, and prioritize tasks
• Must have a minimum of 2 years experience in insurance collections, including submitting and following up on claims from commercial, government, or private insurances
• The ability to read and understand EOBs Claim Adjustment Reason Codes
• Knowledge of ICD- 10 and CPT codes and Payer medical policies
• Ability to identify, track, and report payer denial trends to management
• Accounts Receivables for commercial, government, and managed care accounts experience
• Outpatient and hospital billing and collections/ facility billing
• Must be proficient in MS Office with a focus in Excel
• The ability to work independently and part of a team
• NextGen experience is preferred but not required

Pay Rate: $20-$22/ Hour

Hours: 8am - 5pm Monday - Friday

All qualified applicants will receive consideration for employment without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, medical condition, genetic information, pregnancy, or military or veteran status. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the California Fair Chance Act, City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, and Los Angeles County Fair Chance Ordinance. To the extent our customers require a background check for certain positions, the Company faces a significant risk to its business operations and business reputation unless a review of criminal history is conducted for those specific job positions.