Medical Billing & Claims Specialist (Denials & Payments)

Chota-Community-Health-Services-1; Madisonville (KY); Sur place; USD 22 000 - 26 000; Plein temps

Résumé du poste

Chota-Community-Health-Services-1 seeks a Finance role in Madisonville, TN to manage insurance claims follow-up, postings, and credentialing tasks. The position involves researching claim denials, communicating with insurers, and handling patient accounts with accuracy and compliance.

Responsibilities include reviewing aging claims, supporting electronic billing, and assisting with provider credentialing. Strong attention to detail and teamwork are essential for monthly meetings and quality

Qualifications

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

Responsabilités

• 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.

Formation

High school diploma or equivalent

Experience working with medical claims, Insurance companies, patient accounts, insurance payment posting and charge posting

Description du poste

Chota-Community-Health-Services-1 seeks a Finance role in Madisonville, TN to manage insurance claims follow-up, postings, and credentialing tasks. The position involves researching claim denials, communicating with insurers, and handling patient accounts with accuracy and compliance.

Responsibilities include reviewing aging claims, supporting electronic billing, and assisting with provider credentialing. Strong attention to detail and teamwork are essential for monthly meetings and quality