Medical Claim Representative

J. Morrissey & Company; Glastonbury (CT); On-site; USD 48,000 - 60,000; Full time

Benefits offered by this job

Free onsite parking

Onsite cafeteria

Job summary

J. Morrissey & Company, Inc. in Glastonbury, CT is seeking a Medical Claims Processor for a 3rd party administrator role focused on healthcare claims, benefits and payments. The position is on-site in a nice office with cafeteria and free parking.

Hours are Monday through Friday from 11:30am to 8:00pm, with a pay rate of $24.00 per hour based on experience. Ideal candidates will have revenue cycle and medical billing familiarity, including EOBs, UB-04 forms, and bilingual Spanish abilities.

Qualifications

• Minimum experience in Revenue Cycle: medical billing, medical collections, or insurance follow-up.
• Familiarity with EOBs, Form 1500 and UB-04s.
• Understanding of payor/insurance methodologies and gaps in documentation.
• Bi-Lingual Spanish is required.

Responsibilities

• Resolve client health premiums and out-of-pocket medical expenses by reviewing medical documentation and identifying gaps.
• Answer phones and respond to client inquiries related to payments on their behalf.
• Make outgoing calls to clients, medical providers, and insurance companies resolving gaps in information.
• Ensure payment processing timeliness and accuracy are met.
• Send follow-up letters for approvals and/or denial letters.

Skills

Revenue Cycle

EOBs UB-04

Insurance payor

Bilingual Spanish

Job description

Medical Claims Processor Located in Glastonbury, CT J. Morrissey, in partnership with our Client, is seeking a Medical Claims Processor. At this 3rd Party Administrator, you will be working with healthcare claims pertaining to benefits and payments. Monday through Friday: 11:30am - 8:00pm Pay Rate: $24.00 Per Hour based on Experience

Job Responsibilities

• Resolve client health premiums and out of pocket medical expenses by reviewing medical documentation and looking at gaps in medical documentation or records that could help with payment guidelines.

A representative list of duties:

• Answer phones and respond to client inquiries related to payments made on their behalf.
• Make outgoing calls to clients, medical providers, and insurance companies resolving any gaps Identify, research and resolve client issues.
• Ensure payment processing timeliness and accuracy are met.
• Send follow up letters for approvals and / or denial letters.

Required Skills

• Experience in the Revenue Cycle: Medical Billing, Medical Collections, Insurance Follow up etc. required.
• Understanding of EOBs, Form 1500 and UB-04’s.
• Solid understanding of payor / insurance methodologies Ability to read and identify missing Clinical Documentation, Enrollment; Payment Terms, out of pocket expenses; Benefits Coordination with other insurance coverage.
• Bi - Lingual Spanish

This role is in a very nice office building that is easy to access with Free onsite parking and a cafeteria.