Medical Claims/Billing Insurance Representatives

SEQUIUM ASSET SOLUTIONS LLC • St. James, MO

152d

About The Position

We are seeking a dedicated and results-driven Medical Claims Specialist to work on behalf of behavioral health facilities to obtain revenue for billed services. The role involves following up on claims, resolving and tracking claim issues, verifying benefits or eligibility, submitting medical records when required, and communicating with clients by email.

Requirements

• Knowledge of medical terminology, diagnosis codes, denial codes, and ICD-10 codes.
• Familiarity with UB-04 and HCFA 1500 forms.
• Strong oral, written, and interpersonal communication, problem-solving, facilitation, and analytical skills.
• Collections experience (first- or third-party) or billing experience.
• Experience in medical collections.
• Completed second 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.

Responsibilities

• Verify claim statuses and maintain detailed records of claim issues.
• Follow up on behavioral health claims by contacting insurance carriers and using their web portals.
• Identify, document, and communicate trends in rejections, denials, and underpayments.
• Verify benefits and/or eligibility information.
• Submit medical records to insurance companies when required.
• Communicate with clients via email.

What This Job Offers

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