Medical Claims Specialist

SEQUIUM ASSET SOLUTIONS LLC • St. James, MO

1d

About The Position

We are seeking a dedicated and results-driven Medical Claims Specialist to join our team. In this role, the Claims Specialist works on behalf of behavioral Health facilities obtaining revenue for services billed.

Requirements

• Knowledgeable in medical terminologies, diagnosis codes, denial codes, ICD-10 codes etc.
• Familiarity with UB-04 and HCFA 1500 Forms
• Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
• Collections experience (1st or 3rd party) or billing experience.
• Must have experience in medical collections.
• Completed 2nd Application.
• EZ Score of 40 or higher.
• Updated and detailed resume showcasing relevant experience.
• Ability to work independently and meet performance goals.

Nice To Haves

• Strong sales (outbound calling) experience is preferred.
• Knowledge of medical billing and insurance processes is a plus.

Responsibilities

• Verifies claim statuses and keeps a detailed record of claims issues
• Follows up on Behavioral Health claims by calling the insurance carriers and utilizing their web portals.
• Identifies, documents and communicates trends in rejections, denials, underpayments.
• Verifies benefits and/or eligibility information.
• Submission of Medical Records to Insurance Companies when required.
• Communicating with client via emails

What This Job Offers

• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 11-50 employees