Job Summary
The role involves managing and resolving insurance claims by verifying claim statuses, investigating denials, submitting necessary documentation and appeals, and ensuring payments are secured. Effective communication with various stakeholders is crucial for this position, alongside meticulous documentation and tracking of claims activity.
Responsibilities
- Verify the status of insurance claims.
- Research and resolve claim denials.
- Submit supporting documentation and appeals as necessary.
- Follow up to ensure timely payment of claims.
- Document all claim-related activities thoroughly.
- Monitor trends in payments and denials.
- Report on account statuses to relevant parties.
- Communicate effectively with insurers, healthcare providers, patients, and colleagues.
Qualifications
- High school diploma or GED is required.
- A bachelor’s degree in accounting or a related discipline is preferred.
- 2–3 years of experience in a medical or dental office is desirable.
- Familiarity with medical or dental insurance processes is advantageous.
STEMHUNTER provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
