Medical Claims Resolution Specialist

Lincare Holdings Inc.; Lenexa (KS); On-site; USD 38,000 - 60,000; Full time

Job summary

Lincare Holdings Inc. in Lenexa, KS seeks a Claims/AR Specialist to manage payer communications, adjudication timelines, and AR adjustments in a fast paced healthcare setting.

The role requires a High School Diploma or GED, solid insurance knowledge, excellent phone etiquette and written communication, plus a cooperative attitude. Knowledge of the medical field is preferred. You will document activity and assist others with collection needs.

Qualifications

• High School Diploma or GED required.
• Insurance qualifications and guidelines experience preferred.
• Telephone etiquette and strong oral and written communication skills.
• Positive, cooperative attitude in working with all levels of the organization.
• Knowledge of the medical field preferred.

Responsibilities

• Contacts payers for medical claims status, follow-up denials, or partial payments.
• Obtains payer requirements for timely adjudication of claims.
• Verifies, adjusts, and updates Accounts Receivable (A/R) according to correspondence from insurance companies.
• Helps facilitate interoffice communication on error and denial trends.
• Researches credit balances and initiates refunds as required.
• Documents all activity in the customer's computer account.
• Works assigned RBCO reports.
• Available to assist other PACs with questions or collection needs.

Education

High School Diploma or GED

Job description

Lincare Holdings Inc. in Lenexa, KS seeks a Claims/AR Specialist to manage payer communications, adjudication timelines, and AR adjustments in a fast paced healthcare setting.

The role requires a High School Diploma or GED, solid insurance knowledge, excellent phone etiquette and written communication, plus a cooperative attitude. Knowledge of the medical field is preferred. You will document activity and assist others with collection needs.