The Staff Pad
The Staff Pad has partnered with one of Colorado’s largest accounts receivable management companies to hire an
Insurance Claims Resolution Specialist . Headquartered in Longmont, this industry leader works with organizations across all 50 states, providing expert support in managing revenue cycles.
As an
Insurance Claims Resolution Specialist , you are responsible for resolving outstanding balances on insurance accounts for various clients. This role involves handling claims, billing, and appeals to ensure accurate and timely account resolutions.
Responsibilities
Resolve insurance accounts for multiple clients, including claim status checks, appeals, billing, and rebilling corrected claims
Trace missing payments and escape coding issues when necessary
Manage correspondence as assigned by the client
Post adjustments in client systems when required
Communicate with payers via phone and web portals
Provide continuous updates to clients through phone, email, and in-person communication
Escalate any trends or issues requiring additional attention to the Manager/Supervisor
Perform other duties as required
Success Factors/Job Competencies
Strong problem analysis and resolution skills
Excellent verbal and written communication abilities
A team-oriented mindset with a focus on collaborative solutions
Commitment to company values and the ability to prioritize tasks effectively
Strong organizational skills and ability to manage multiple priorities simultaneously
Requirements Qualifications Required :
Minimum of 1 year of experience in insurance follow-up or denials management - must have experience with Medicare.
OR completion of a medical billing/follow-up certificate or degree
Ability to analyze accounts for claims resolution
High school diploma or equivalent
Desired :
Minimum of 6 months of experience in coverage and eligibility (preferred)
Familiarity with claim status, appeals, and billing procedures (preferred)
Basic knowledge of medical billing and coding
Experience in claims billing and reimbursement analysis
Proficiency in client systems like EPIC, Affinity, Athena, Meditech, Change Healthcare (Emdeon, ePremis, Relay)
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Insurance Claims Resolution Specialist . Headquartered in Longmont, this industry leader works with organizations across all 50 states, providing expert support in managing revenue cycles.
As an
Insurance Claims Resolution Specialist , you are responsible for resolving outstanding balances on insurance accounts for various clients. This role involves handling claims, billing, and appeals to ensure accurate and timely account resolutions.
Responsibilities
Resolve insurance accounts for multiple clients, including claim status checks, appeals, billing, and rebilling corrected claims
Trace missing payments and escape coding issues when necessary
Manage correspondence as assigned by the client
Post adjustments in client systems when required
Communicate with payers via phone and web portals
Provide continuous updates to clients through phone, email, and in-person communication
Escalate any trends or issues requiring additional attention to the Manager/Supervisor
Perform other duties as required
Success Factors/Job Competencies
Strong problem analysis and resolution skills
Excellent verbal and written communication abilities
A team-oriented mindset with a focus on collaborative solutions
Commitment to company values and the ability to prioritize tasks effectively
Strong organizational skills and ability to manage multiple priorities simultaneously
Requirements Qualifications Required :
Minimum of 1 year of experience in insurance follow-up or denials management - must have experience with Medicare.
OR completion of a medical billing/follow-up certificate or degree
Ability to analyze accounts for claims resolution
High school diploma or equivalent
Desired :
Minimum of 6 months of experience in coverage and eligibility (preferred)
Familiarity with claim status, appeals, and billing procedures (preferred)
Basic knowledge of medical billing and coding
Experience in claims billing and reimbursement analysis
Proficiency in client systems like EPIC, Affinity, Athena, Meditech, Change Healthcare (Emdeon, ePremis, Relay)
#J-18808-Ljbffr