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)
Workers’ Compensation Claims Representative - This position will assist healthcare providers in identification, verification, billing and follow-up on workers’ compensation claims. The claims representative will help identify the appropriate workers’ compensation carrier and provide the documentation necessary for payment. The claims representative will work directly with adjusters to obtain claim updates and resolve outstanding claims. Representatives will need excellent communication and organizational skills to gather information and achieve resolution on assigned claims. Prior medical billing experience is preferred.
Essential Duties
Answering inbound calls and making outbound calls, while demonstrating proper phone etiquette and HIPAA compliance
Identification and verification of workers’ compensation insurance
Properly noting the account and setting appropriate follow-up
Proficient communication related to standard billing forms (UB04 and 1500)
High School Diploma and GED
Strong Knowledge of computer skills and typing
Intermediate knowledge of Outlook, Excel
Dependable and Detailed individuals with organizational skills
Great Communication skills
Recommended- 1- or 2-years' medical billing experience
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0 Claims Clerk jobs found in Adamsville, TN area