Claims Resolution Specialist I, Physician Billing, Baptist Metro Square Position Available In Duval, Florida
Tallo's Job Summary: The Claims Resolution Specialist I position at Baptist Metro Square in Jacksonville, FL involves resolving medical claims, analyzing benefits, and communicating with payers. This full-time role requires a high school diploma, with preferred certification and 1-2 years of revenue cycle experience. The shift is Monday-Friday 8:00am - 5:00pm. If interested, apply now.
Job Description
Claims Resolution Specialist I, Physician Billing, Baptist Metro Square 3.5 3.5 out of 5 stars Jacksonville, FL 32207 Job Summary We’re hiring a Claims Resolution Specialist I for the Physician Billing Department in Jacksonville, Florida. This is a full-time days position located at Baptist Metro Square.
Shift Details :
Monday-Friday 8:00am – 5:00pm.
Claims Resolution Specialist I Job Responsibilities:
Resolves each medical claim sent to commercial insurance companies, third party organizations and/or government payers. Analyzes explanation of benefits to insure proper payment to Baptist Health from paying entities. Communicates with third-party representatives as necessary to complete claims processing and /or resolve problem claims. Follows-up daily on post processing activity including but not limited to, rejected billings, adjustments, corrected claims, overpayments, and denied claims. Works all assigned accounts on worklist in order depending on balance and age. Identify and communicate trends in denials to leadership. Requires experience in either HB or PB while working toward competency in all areas of the assigned vertical. Identify and communicate trends in denials to leadership Communicates with various departments to resolve any outstanding issues with claim to resolve denials. Possesses up to date knowledge related to CPT codes, ICD/10 codes. If you are interested in this Claims Resolution Specialist I position at Baptist Metro Square, please apply now. Status Full-Time Shift Details Days Education Required High School Diploma/GED Education Preferred Bachelor’s Degree License and Certification Certified Revenue Cycle Specialist (CRCS) Preferred Or Certified Revenue Cycle Representative (CRCR) Preferred Or Experience 1-2 years Revenue Cylce Operations Experience Required Less than 1 year Billing Experience Required Less than 1 year Medical Insurance Experience Required Less than 1 year Reimbursement Experience Required Less than 1 year Accounts Receivable Experience Required Less than 1 year Knowledge of CPT, ICD10, HCPCS and Modifiers Required
