Payer Claims Resolution Specialist

Mobile Medical Response; Carrollton Township (MI); On-site; USD 36,000 - 48,000; Full time

Job summary

Mobile Medical Response in Michigan is seeking a Claims Follow-up Specialist to resolve Medicare, Medicaid, BCBS, and commercial payer questions and follow-up on patient pay accounts. The role involves requesting and validating payer information, processing payments, and ensuring HIPAA compliance while delivering professional customer service.

The position requires strong data entry, communication, and billing software proficiency, with on-site hours in a typical office setting.

Qualifications

• Proficiency in billing Medicare, Medicaid, BCBS, and commercial payers.
• Excellent written and verbal communication.
• Ability to maintain HIPAA compliance and confidentiality.
• Strong data entry and typing speed.
• Proficient in Word and Excel.

Responsibilities

• Follow-up on Medicare/Medicaid questions and inquiries to resolve issues.
• Process refunds and solicit payments when appropriate.
• Collect patient and payer information and resubmit accounts with corrections.
• Handle BCBS (PCR) information requests and follow-ups.
• Assist callers and provide solutions to patients, payers, and others as needed.
• Enter patient demographics from correspondence or calls; maintain accuracy.

Skills

Billing proficiency

Communication skills

Data entry

Attention to detail

HIPAA compliance

Education

High School Diploma

Tools

C-Snap

Champs

Web Denis

Microsoft Word

Microsoft Excel

Job description

Mobile Medical Response in Michigan is seeking a Claims Follow-up Specialist to resolve Medicare, Medicaid, BCBS, and commercial payer questions and follow-up on patient pay accounts. The role involves requesting and validating payer information, processing payments, and ensuring HIPAA compliance while delivering professional customer service.

The position requires strong data entry, communication, and billing software proficiency, with on-site hours in a typical office setting.