Claims Processor, Medical

Sutter HealthTown of Ashford, NY
$21 - $28Remote

About The Position

Ensures timely and accurate posting of cash transactions, payments, adjustments, manual denials, insufficient fund checks/debit transactions, and general ledger accounting transactions. Reviews, researches, and resolves payment variances to minimize inappropriate payment variances from expected reimbursement, processes payments/refunds/adjustments.

Requirements

  • Must be a resident of the state of Utah.
  • HS Diploma: High School Diploma or General Education Diploma (GED)
  • Basic bookkeeping principles
  • General business procedures
  • Knowledge of consumer collection and billing rules and regulations.
  • Written and verbal communication skills.
  • Ability to process requests quickly, accurately, and consistently with general supervision.
  • Able to work with others in a flexible and cooperative manner.
  • Proficient in using Microsoft Word, Excel, Visio and PowerPoint, and internet research.

Nice To Haves

  • Medical Claims
  • Medical Denials
  • Medical Billing & Coding
  • Home Health and/or Hospice

Responsibilities

  • Timely and accurate posting of cash transactions, payments, adjustments, manual denials, insufficient fund checks/debit transactions, and general ledger accounting transactions.
  • Review, research, and resolve payment variances to minimize inappropriate payment variances from expected reimbursement.
  • Process payments/refunds/adjustments.

Benefits

  • Comprehensive benefits package
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