Claims Resolution Specialist
US-PA-Camp Hill
CCC
Req #: 349930
Type: Full Time
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Overview: Claims Resolution Specialist Starting at $18.50 per hour ON-SITE Do you enjoy puzzles and research? Are you results-oriented? If so, our Claims Resolution Specialist position may be a phenomenal career for you within Select Medical! Our dynamic team has the responsibility of resolving outstanding insurance claims so that our patients are not impacted. We offer an exceptional employee experience, full-time hours, full benefits, paid training, and advancement opportunities. Our team offers flexible, first shift, Monday through Friday schedules. This would include two fifteen minute breaks and one half-hour lunch. We allow for casual work attire, jeans are our norm! Responsibilities: Job Summary: Responsible for managing and collecting outstanding account balances through timely follow-up and communication with patients, insurance companies, and attorneys. Key Responsibilities: * Investigate and resolve unpaid or denied accounts over 30 days old. * Document all communications and maintain follow-up within 30 days. * Handle 20-25 accounts daily (subject to change). * Make outbound calls to reduce receivables and update account information. * Communicate with hospital staff and management on issues and trends. * Identify and resolve barriers to timely collections; request adjustments as needed. * Notify database operations of payor or account changes. * Meet productivity and collection goals set by management. * Perform other duties or special projects as assigned. Qualifications: Required: * High School Diploma or Equivalent * One year of experience within a medical billing, medical collecting or claims processing role. Preferred: * Computer Skills * Microsoft Office: * Outlook * Excel * Ability to work with multiple programs simultaneously. * Good interpersonal, oral and written communication skills. * Previous experience in metrics based role, where production/quality standards are upheld. * Time management and organizational skills * Proven experience with investigative research. * Ability to work independently and as part of team to reach mutually established goals. * Attention to detail * Flexibility and being open to change * This job requires access to confidential and sensitive information, requiring ongoing discretion and secure information management.
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