Carteret Health Care
Employer Industry: Healthcare Services
Why Consider this Job Opportunity:
- Competitive salary up to the maximum amount specified in the job description
- Opportunity for career advancement and growth within the organization
- Comprehensive benefits package offered
- Chance to work in a collaborative and supportive environment
- Possibility of making a positive impact on patient care and satisfaction
What to Expect (Job Responsibilities):
- Resolve outstanding and denied claims based on third party claim processing rules
- Ensure all claims are billed, collected, and comply with government policies
- Collaborate with hospital departments to resolve accounts
- Research, prepare, and submit appeals to insurance companies
- Maintain strict confidentiality and adhere to all HIPAA guidelines
What is Required (Qualifications):
- Knowledge of medical coding/terminology and third-party insurance procedures
- Understanding of payer guidelines for effective claim resolution
- Proficiency with payer websites and other resources
- Detail-oriented and organized
- Ability to establish effective working relationships and communicate clearly with customers and insurance companies
How to Stand Out (Preferred Qualifications):
- Experience in revenue cycle or business office procedures
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