Claims Manager Jobs

About The Position

Requirements

• Knowledge of Microsoft Office, keyboarding, and use of electronic medical records
• Ability to operate a computer and basic office equipment.
• Skill in answering a telephone in a pleasant and helpful manner.
• Ability to read, understand and follow oral and written instructions.
• Ability to establish and maintain effective working relationships with patients, employees, and the public.
• Must be well organized and detail oriented.
• Learn and apply the trauma informed care principles with the scope of the position
• High School Diploma or GED

Responsibilities

• Reviews eligible claims for compliance with State
• Is responsible for understanding what qualifies as billable and non-billable for both Medical and dental claims
• Processes full life of LOA claims. Which includes processing pending claims and then following up on approval and/or rejection
• Validating/Confirming patient payments is a part of Billing meetings regarding loss of revenue due to missing payments
• Works with Billing Claims Manager to come up with plans for aiding loss of revenue due to missing payments
• Answers questions from patients and clerical staff regarding LOA/Uninsured issues or concerns
• Conducts self in accordance with ZHC’s employee handbook.
• Maintains the strictest confidentiality; adheres to all HIPAA guidelines/regulations.
• Performs other duties as assigned