Onsite Claims Reconciliation Specialist

American-Specialty-Healt; San Diego (CA); Sur place; USD 21 000 - 23 000; Plein temps

Résumé du poste

American Specialty Health Incorporated (ASH) is seeking a Reconciliation Representative to join our Claims department. The hourly salary range is $15.00 to $17.00. This is a full-time onsite position in San Diego, CA.

The role involves reconciling complex claims, handling EOBs, and communicating with Health Plans to verify claim status and reprocess denied items. Strong attention to detail and confidentiality are essential.

Qualifications

• High School Diploma or GED required.
• 2 years with claims processing, computer, typing, 10-key, and telephone skills.
• Knowledge of Microsoft Word and Excel helpful.
• Familiarity with Managed Care, HMO, PPO health plan provisions.
• Excellent listening and interpersonal communication skills to identify core competencies.

Responsabilités

• Reconciles, resolves, and researches 2-step claims and payments.
• Receives and sorts incoming mail including paper EOBs and letters.
• Downloads electronic EOBs from Health Plan Portals.
• Counts and scans EOBs and track counts into inventory.
• Makes calls to Health Plans to check status of claims and request reprocessing if denied.

Connaissances

Attention to detail

Excellent listening skills

Interpersonal communication

Multi-tasking

Claims processing experience

Formation

High School Diploma or GED

Outils

Microsoft Word

Microsoft Excel

Description du poste

American Specialty Health Incorporated (ASH) is seeking a Reconciliation Representative to join our Claims department. The hourly salary range is $15.00 to $17.00. This is a full-time onsite position in San Diego, CA.

The role involves reconciling complex claims, handling EOBs, and communicating with Health Plans to verify claim status and reprocess denied items. Strong attention to detail and confidentiality are essential.