What are the responsibilities and job description for the Business Professional - Medical Payment Specialist Medical Payment Specialist position at Axelon?
This is a Remote position with Mandatory once a month team meeting in the Newark, NJ office.
6 months Contract
Job Description : Job Summary :
This position is responsible for reviewing and adjudicating complex medical bills and responding to inquiries from internal / external customers. Handles customer appeals and disputes of payments and pre-certifications within client's casualty departments.
Job Description :
- Reviews and adjudicates complex medical bills in accordance with established policies and procedures.
- Posts approved bills for payment, and issues Explanation of Benefits (EOB) for denied payments.
- Responds to internal / external inquiries regarding the status of medical bills.
- Acts as information resource to Medical Consultants for policy determination.
- Assists in gathering / providing information for resolution of medical bill payment disputes and provider appeals.
- Completes other assigned functions as requested by Management.
Education / Experience :
Knowledge :
Skills and Abilities :
