Remote Senior Claims Reconciliation Specialist

American-Specialty-Healt; United States; Remote; USD 48,000 - 64,000; Full time

Job summary

American Specialty Health Incorporated (ASH) is seeking a Sr Reconciliation Representative to join our Claims department. The role focuses on reconciling 2-step claims and payments per EOBs from Health Plan Payors.

This remote position requires strong claims processing skills, proficiency with Word/Excel, and the ability to communicate with Health Plans. You will work from home with company-provided equipment and must maintain confidentiality.

Qualifications

• High School Diploma or GED required.
• 2 years with claims processing, computer, typing, 10-key, and telephone skills preferred.
• 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 based on success factors and organizational environment.

Responsibilities

• Reconciles, resolves, and researches 2-step claims and payments to ASH.
• Makes calls to Health Plans to check status of claims and requests reprocessing if denied in error.
• Uses Health Plan and TPA websites to check on claim status or reconcile claims.
• Maintains confidentiality of all claims documents and records.

Skills

Claims processing

Typing

Telephone skills

Microsoft Word

Microsoft Excel

Interpersonal communication

Confidentiality

Education

High School Diploma or GED

Tools

IHIS system

Job description

American Specialty Health Incorporated (ASH) is seeking a Sr Reconciliation Representative to join our Claims department. The role focuses on reconciling 2-step claims and payments per EOBs from Health Plan Payors.

This remote position requires strong claims processing skills, proficiency with Word/Excel, and the ability to communicate with Health Plans. You will work from home with company-provided equipment and must maintain confidentiality.