Claims Resolution Specialist I

Florida Cancer Specialists

10d•Remote

About The Position

Position Summary: Review all medical insurance claims for resolution and payment. Resolve any incoming inquiries or payment denials from insurance providers for payment. Research, compile, and respond to documentation requests from insurance carriers in a timely basis. Contact insurance carriers to collect on open account balances.

Requirements

The Claims Resolution Specialist must have excellent knowledge of insurance carrier billing and reimbursement with knowledge of medical terminology, ICD-9, and CPT codes.
Must have an in-depth understanding of explanation of benefits (EOB)
At least one year of prior medical billing or medical collections experience.
Excellent communication and interpersonal skills required.

Nice To Haves

EMR or GE Centricity Practice Management software experience preferred.
Medical Oncology, Radiology, Radiation, Laboratory, or Pathology experience preferred.

Responsibilities

Review all medical insurance claims for resolution and payment.
Resolve any incoming inquiries or payment denials from insurance providers for payment.
Research, compile, and respond to documentation requests from insurance carriers in a timely basis.
Contact insurance carriers to collect on open account balances.

Benefits

Offering competitive salaries and comprehensive benefits packages to include tuition reimbursement, 401-K match, pet and legal insurance.
Medical and Prescription Drug Coverage
Vision & Dental Insurance
Employee Assistance Program (EAP)
Health Savings Account (HSA) & Flexible Spending Accounts
Paid Time Off (PTO)
401(k) Retirement Plan
Life Insurance
Tuition Reimbursement
Disability Insurance
Accident Insurance
Critical Illness
Hospital Indemnity
Pet Insurance
Identity Theft
Legal Insurance