Medical Insurance Claims Specialist

Southern Ohio Medical Center; Portsmouth (OH); In loco; USD 25.000 - 36.000; Tempo pieno

Vantaggi offerti da questo lavoro

Competitive pay

Retirement plan

Medical coverage

Tuition assistance

Earned Wage Access

Descrizione del lavoro

Southern Ohio Medical Center is seeking an Insurance Claim Specialist who will analyze, process, submit, and follow up on inpatient and outpatient medical claims under the supervision of the Assistant Manager of Claims Management. This role protects patient confidentiality and ensures accurate claim handling across commercial and government programs.

Qualifications include a High School Diploma and 3–6 months of related medical billing experience.

Competenze

• Education: High School Diploma or equivalent required.

Mansioni

• Reviews all claims for complete and accurate information.
• Contacts SOMC departments, physician offices, and insurance companies to obtain necessary information to file complete, accurate, and timely claims.
• Processes, edits, and submits all claims for the organization.
• Follows up on Commercial, Worker’s Comp, VA, and Governmental claims by phone, website, or online resources.
• Works with patients/guarantors by phone to assist with questions on unpaid claims.

Conoscenze

Medical billing

Claims processing

HIPAA compliance

Customer communication

Formazione

High School Diploma

Descrizione del lavoro

Southern Ohio Medical Center is seeking an Insurance Claim Specialist who will analyze, process, submit, and follow up on inpatient and outpatient medical claims under the supervision of the Assistant Manager of Claims Management. This role protects patient confidentiality and ensures accurate claim handling across commercial and government programs.

Qualifications include a High School Diploma and 3–6 months of related medical billing experience.