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USD
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HOUR
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Medical Claims Resolution Specialist(s)
Posted: 07/26/2024
2024-07-26
2024-08-09
Employment Type:
Temporary
Industry: Outreach/Behavioral Health
Job Number: 321
Pay Rate: $16.00/hour
Job Description
Remote - Claims Resolution Specialists needed, multiple openings! (Contract)
$16.00/hour
We are seeking a highly organized and detail-oriented individual to join an established behavioral health agency as a remote Claims Resolution Specialist (Contract). In this role, you will be the point of contact regarding claim issues, providing exceptional support and ensuring a smooth claims experience.
Responsibilities:
- Review and address claim issues received via phone, email, and a ticketing system.
- Research and gather information related to claim denials and approvals.
- Communicate resolutions and summaries of claim issues clearly and concisely to providers.
- Log and track all contact with providers.
- Assist the Claims Department with additional duties as needed.
Job Requirements
Qualifications:
- Previous experience in medical claims processing, including reviewing claims, denials, and member eligibility (preferred).
- Excellent communication and interpersonal skills, both written and verbal.
- Strong analytical and problem-solving abilities.
- Ability to work independently and manage multiple tasks simultaneously.
- Proficient in Microsoft Office Suite (Word, Excel, Outlook).
- Prior experience with a claims management system is a plus.
** Candidates must live within the company's service area in Eastern, NC. **
Additional Information
Benefits:
- Remote position.
- Opportunity to contribute to a growing and dynamic organization.
- Work in a mission-driven environment, supporting access to quality mental healthcare.
#claims #claimresolution #claimresearch #staffing
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