Claims Denial Specialist - Appeals & Rebilling Expert

ADP, Inc.; Washington (District of Columbia); On-site; USD 50,000 - 60,000; Full time

Job summary

ADP, Inc. is seeking an organized administrative specialist in the Washington, DC area to investigate claim denials, rebill claims, scan and mail documents, and manage large volumes of correspondence.

The role involves researching via hospital and insurance portals, and contacting health insurers to obtain appeal statuses. The ideal candidate will have a BA or 1–2 years related experience, strong MS Office skills, and excellent written and verbal communication abilities, with meticulous

Qualifications

• Bachelor's Degree or 1–2 years of related experience.
• Experience in office administration or another related field.
• Basic working knowledge of the US healthcare system.
• Ability to prioritize and multitask.
• Excellent written and verbal communication skills.
• Proficiency in Microsoft Office, including Word and Excel.
• Highly attentive to detail.
• Excellent organizational and time management skills.
• Clear, concise, and logical writing style.
• Computer-savvy, able to learn new applications/software quickly.

Responsibilities

• Handles large volumes of documents, including accurately scanning and mailing documents.
• Uses industry knowledge to document accounts and support pursue for additional reimbursement.
• Works within the client’s systems and payer portals to research accounts.
• Communicates professionally on the phone to follow up on submitted appeals.
• Opens, sorts, and imports incoming correspondence into the office database.
• Navigates various computer systems to find information about insurance claims.
• Greets and assists onsite guests.
• Answers calls for Claim status and Appeal status.
• Performs other administrative duties as needed.
• Performs additional duties as assigned by management.

Skills

Microsoft Office

Communication skills

Multitasking

Attention to detail

Time management

Computer literacy

Education

Bachelor's Degree or equivalent experience

Tools

Payer portals

Office database software

Healthcare claim systems

Job description

ADP, Inc. is seeking an organized administrative specialist in the Washington, DC area to investigate claim denials, rebill claims, scan and mail documents, and manage large volumes of correspondence.

The role involves researching via hospital and insurance portals, and contacting health insurers to obtain appeal statuses. The ideal candidate will have a BA or 1–2 years related experience, strong MS Office skills, and excellent written and verbal communication abilities, with meticulous