What are the responsibilities and job description for the Claims Representative position at College Skyline Center LLC?
Job Overview
We are seeking a detail-oriented and motivated Claims Representative to join our team. In this role, you will be responsible for managing and processing claims related to medical billing and insurance verification. You will work closely with healthcare providers, patients, and insurance companies to ensure accurate and timely processing of claims. The ideal candidate will possess strong knowledge of Medicare and Commercial Insurance, along with excellent clerical skills.
Responsibilities
- Review and process medical claims for accuracy and completeness.
- Verify patient insurance coverage and eligibility through insurance verification processes.
- Communicate with healthcare providers to obtain necessary documentation for claims processing.
- Resolve discrepancies or issues related to claims by working collaboratively with relevant parties.
- Utilize financial software to track and manage claims status efficiently.
- Stay updated on changes in Medicare regulations and coding practices to ensure compliance.
Requirements
- Proficiency in medical billing processes and understanding of insurance verification.
- Familiarity with financial software used in claims processing is a plus.
- Strong clerical skills with attention to detail for accurate data entry and record maintenance.
- Ability to manage multiple tasks effectively while meeting deadlines.
- Excellent communication skills for interaction with patients, providers, and insurance representatives.
- Knowledge of Diagnosis Related Groups (DRG) is advantageous but not mandatory.
- Previous experience in a similar role within the healthcare industry is preferred but not required.
If you are passionate about healthcare administration and have the skills necessary to excel as a Claims Representative, we encourage you to apply. Join our team and contribute to providing exceptional service in the healthcare industry.
Job Types: Full-time, Part-time
Pay: From $25,740.00 per year
Expected hours: 30 per week
Benefits:
- Flexible schedule
Schedule:
- 4 hour shift
- 8 hour shift
- Day shift
- Monday to Friday
Work Location: In person
Salary : $25,740