Reviews and investigates insurance claim denials, gathers supporting records and documentation, and prepares and submits appeals within payer and regulatory deadlines. Coordinates with billing, authorization, coding, providers, patients, and insurers, while also supporting payment posting, account error resolution, insurance verification, and incoming calls as needed. A high school education is preferred, along with computer and/or secretarial skills and at least one year of clerical experience with computer knowledge, including more than three months of progressively responsible experience. The role requires analytical and organizational ability, independent judgment, effective communication, English proficiency, regular attendance, and the ability to work in an office setting with prolonged sitting and occasional handling of forms or paper.
Jamestown Regional Medical Center 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.
