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Semmes Murphey Clinic

Insurance Representative

Career Insights for Medical Claims Processor / Representative

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Based on Tennessee data

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What they do

A Medical Claims Processor or Representative reviews and processes medical insurance claims and determines whether an insurance policy will cover a medical procedure. Gathers information from policy holders and organizes insurance files; may process checks with payments to policy holders when a medical claim is approved.

$41,248 / year median in Tennessee

-6% projected decline

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Job Description

Description Semmes Murphey Clinic's mission is to deliver the best care for people suffering from neurological illness while advancing the field of neuroscience. Our business office is looking for a full-time insurance representative who facilitates the accurate and timely filing of medical claims to insurance carriers. This process includes corresponding with patients to obtain missing information, diligently following up with insurance companies to ensure payment, and correcting errors on claims that were rejected. In this role, you will also handle insurance refund requests, submits appeals for denied claims, and interacts with patients who have questions regarding their financial responsibility for medical services rendered through Semmes Murphey Clinic. Requirements We are searching for a candidate who: is familiar with the concepts, terminology and practices within the medical insurance field is able to communicate effectively and persuasively in both positive and negative situations can skillfully gather and analyze information and appropriately respond to routine problems will provide excellent customer service while maintaining a high level of confidentiality and discretion This position requires a high school diploma or equivalent, and two (2) years' work experience related to medical claims reimbursement, preferably in a large medical practice or with a medical insurance carrier. The candidate must be proficient in Microsoft Office (Excel, Outlook, Word), various software programs, and internet applications. Organizational skills with attention to detail are required. Equal Opportunity Employer/Veterans/Disabled #SMC