Claims Processing Tech - Eddy Senior Care

Trinity Health

2d•$19 - $25•Onsite

About The Position

Eddy Senior Care PACE is seeking a Claims Processing Tech to join its finance team. The role enters patient claims into the organization’s adjudication system, which determines payment amounts using established fee schedules, and resolves discrepancies before claims are submitted to accounts payable. The position also involves communicating with providers to resolve billing problems. Accuracy and speed are important because of the high volume of claims. This is an in-office position at 433 River Street in Troy, New York. Hours are Monday through Friday, either 8:00 a.m.–4:30 p.m. or 8:30 a.m.–5:00 p.m. Full orientation is provided.

Requirements

Previous billing experience is required.
High school diploma is required.
Two to three years of experience in a billing position or a health care position.
Strong organizational and communication skills.
High attention to detail and accuracy.
Proactive problem-solving mindset.
Ability to thrive in a fast-paced healthcare environment.
Ability to work well with others in a small department.
Professional written and oral communication skills.
Organized, patient, flexible, and able to adapt to changes.

Nice To Haves

Prior authorization and/or billing experience is preferred.
Previous experience and knowledge of medical claims processing are helpful.

Responsibilities

Enter patient claims into the computer adjudication system and resolve discrepancies before submitting them to accounts payable.
Communicate with providers to resolve billing problems.
Process billing for self-pay clients and contracted agencies.
Obtain and manage service authorizations.
Prepare, review, and submit invoices and claims.
Monitor and reconcile cash postings.
Follow up on outstanding account balances to ensure timely resolution.