Job Summary
A company is looking for a Claims Resolution Specialist - Appeals.
Key Responsibilities
- Coordinate provider invoice activities to ensure timely reimbursement of receivables
- Research and resolve claims denials and prepare appeals as necessary
- Provide guidance and communication regarding claims processing protocols to internal and external customers
Required Qualifications
- High School Diploma or equivalent
- Two years of medical claims processing and reimbursement experience
- Knowledge of healthcare collection procedures and relevant software applications
- Familiarity with HIPAA, coding standards, and Microsoft Office applications
- Strong organizational and time management skills
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