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Medical Claims Specialist Follow Up
Job
Vestra, LLC
Magee, MS (In Person)
Full-Time
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78
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Job Description
Please refer to Requirements and Summary Analyzes Medicare, Medicaid remittance advices and insurance carrier's explanations of benefits to ensure accurate and prompt processing of claims. Reviews billings to patients after insurance carriers have paid or denied claims to ensure prompt account balance payments. Routinely works accounts receivables to recover unpaid account balances. Communicates effectively with patients, insurance companies, hospitals, clients, and others to resolve account balance issues. Sorts and files correspondents. Maintains strict confidence of all patient accounts and complies with all company policies and HIPPA regulations. Performs other jobs and/or duties as requested by supervisor. Understands computer processing. Has knowledge of spreadsheets, word processing, email messaging, and internet navigation. Consistently demonstrates a customer service orientation and communicates effectively. Has good interpersonal skills, is empathetic, listens for understanding and has pleasant telephone presentation skills. Has excellent organizational skills. Can organize and prioritize tasks to accomplish work. Multi-tasks and manages time effectively. Acquires new skills and learns quickly. Can effectively cope with change and shift gears comfortably. Supports PFS team by contributing, cooperating, sharing knowledge and working collaboratively with others. Ability to use personal computers and effectively navigate common software programs. Responsible for appropriate follow-up of filed medical claims to ensure timely collection of claims payments.