Accounts Receivable Claims Specialist (Chesapeake Specialty Care)
$39,500–$59,300 year
RemoteUnited States
United StatesRemoteFull Time$39,500–$59,300 yearHigh School Or EquivalentLarge
Full TimeHigh School Or EquivalentLarge
Job Summary
Resolve payment denials, both partial and full, by identifying issues in the work queue and taking appropriate action. Stay current on payer policies, coverage guidelines, and correct appeal processes to ensure claims are adjudicated properly. Communicate professionally with providers to resolve denials and resubmit corrected claims based on payor policies or provider directions. Appeal claims denials with required information and manage multiple tasks throughout the day using strong organizational skills.
Required Qualifications
- High school diploma or equivalent
- Minimum 2-3 years of experience in medical billing
- Experience with practice management systems and EHR platform
- Familiarity with medical terminology and CPT/ICD-10 codes
- Strong knowledge of medical insurance plans (commercial, Medicare, Medicaid, Tricare)
- Knowledge of basic medical coding and third-party operation procedures and practices
- Familiarity with Microsoft applications, including, but not limited to Word and Excel
- Excellent communication and customer service skills
- Strong written and verbal communication skills including the ability to confidently speak to patients
- Excellent organizational skills to manage multiple tasks throughout the day
- Ability to operate a multi-line telephone system and answer a telephone in a pleasant and helpful manner
- Must be responsible, reliable, and able to carry out job functions
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