Claims Resolution Specialist - Patient Financial Services - 1.0 FTE (40 hours a week)

DCMC • Sturgeon Bay, WI

62d • Onsite

About The Position

The Claims Resolution Specialist submits claims to primary, secondary, and tertiary payers. Performs follow-up on all insurance open account balances. Researches credit balances for Medicare, Medicare HMO, Medicaid, and Medicaid HMO and handles appropriately. Handles all rejections/denials. Handles Hospital, Clinic, Rehab and Skilled Nursing Facility accounts.

Requirements

• Two years’ experience in healthcare billing, or related experience.

Nice To Haves

• Epic experience preferred.

Responsibilities

• Submits claims to primary, secondary, and tertiary payers.
• Performs follow-up on all insurance open account balances.
• Researches credit balances for Medicare, Medicare HMO, Medicaid, and Medicaid HMO and handles appropriately.
• Handles all rejections/denials.
• Handles Hospital, Clinic, Rehab and Skilled Nursing Facility accounts.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed