Medical Claims Representative - Office/Hybrid position
Hybrid · Hudson, Ohio, United States
Job Summary
Medical Claims Representative responsible for diagnosing root causes of denials and payment delays. Analyze reports on insurance payment differences, appeals and rebills; work claim denials; identify denial trends and propose process improvements. Collaborate with the claims team and other department managers to address issues and implement new procedures. Leverage knowledge of healthcare products, deductibles, co-payments, and third-party reimbursement for customer education and training. Role supports a hybrid remote work schedule after training and is located in Hudson, OH.
Required Qualifications
- High School Diploma or GED
- 1-2 years of experience in a consumer service organization or healthcare environment
- Proficient in Microsoft Outlook and Excel
- 30 WPM typing
- Strong organizational skills and multitasking ability
- Excellent telephone skills
- Good cognitive reasoning and attention to detail
- Knowledge of healthcare products, deductibles, co-payments, and third-party reimbursement (helpful)
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