Medical Billing & Claims Specialist

Chota Community Health Services; Madisonville (TN); Vor Ort; USD 22.000 - 26.000; Vollzeit

Zusammenfassung

Chota Community Health Services in Madisonville, TN is hiring a Finance role focused on follow-up of insurance claims, denials, and posting tasks. The position supports credentialing and patient accounts within a fast-paced environment.

Responsibilities include analyzing claims aged over 90 days, communicating with insurers, and handling electronic billing and posting tasks, with opportunities for credentialing and process improvement.

Qualifikationen

• High school diploma or equivalent.
• Experience working with medical claims, insurance companies, patient accounts, insurance payment posting and charge posting.

Aufgaben

• Reviewing claims outstanding over 90 days.
• Researching within Nextgen for reason claim not paid.
• Speak with insurance companies regarding unpaid or denied claims.
• If necessary, submit documentation to insurance companies
• Clear credit balances for patients and insurance companies.
• Backup—Charge Entry, Electronic Billing, Payment posting, Patient Accounts Clerk, Provider credentialing with insurance companies.
• Chota in-house credentialing for Providers
• Complete annual trainings
• Review Policies and Procedures that pertain to job annually
• Participate in Patient Centered Medical Home Care Team collaboration.
• Performs other duties as assigned or requested.
• Participates in quality improvement activities.
• Regular and predictable attendance.
• Ability to cooperate and work well with others.
• Attend and participate in monthly staff meetings.

Kenntnisse

Medical claims experience

Insurance company liaison

Patient accounts understanding

Ausbildung

High school diploma or equivalent

Tools

NextGen

Jobbeschreibung

Chota Community Health Services in Madisonville, TN is hiring a Finance role focused on follow-up of insurance claims, denials, and posting tasks. The position supports credentialing and patient accounts within a fast-paced environment.

Responsibilities include analyzing claims aged over 90 days, communicating with insurers, and handling electronic billing and posting tasks, with opportunities for credentialing and process improvement.