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Tandem Health SC

Biller

Entry-Level JobVerifiedNo experience needed

Career Insights for Claims Representative

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Based on South Carolina data

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What they do

A Claims Representative accepts and reviews applications for insurance and provides information to insurance agents. Assists insurance customers, answers questions and processes requests to change or cancel policies. May assist with insurance claims that are disputed, review claims and policy coverage and help to negotiate agreements between customers and an insurance company.

$56,252 / year median in South Carolina

+5% projected growth

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Job Description

Duties and Responsibilities:
Reviews all claims for completeness and accuracy and makes the necessary corrections. Stays current on all billing guidelines. Researches and responds by telephone and in writing to patient inquiries regarding billing issues and problems. Follows up on submitted claims; monitors unpaid claims; resubmits claims as necessary. Works assigned insurance and patient HOLD buckets in Athena Works
PROREVIEW
worklist (prompt pay) Creates Good Faith Estimates for patient appointments Keeps supervisor informed of problems or potential problems. Completes other duties as assigned by supervisor. Assists with other special projects as assigned by management, such as: o Processing credit card payments from insurance companies o Completing retroactive sliding fee claims o Applying patient payments to accounts o Tracking provider errors to ensure accurate charting o Answering patient questions in Athena Billing Portal Inbox o Completes Bad Debt review monthly
Qualifications:
Education/Experience:
High school diploma required, associate's or bachelor's degree in a related field, or at least two (2) years of billing and coding experience preferred. To learn more about Tandem Health and our benefits, please click the links below.
https:
//tandemhealthsc.e3applicants.
com/about-us/benefits-trial https:
//www.youtube.com/watch?v=STg1IbibH5g