What are the responsibilities and job description for the Claims Specialist position at HealthCare Support?
Claims Specialist
HealthCare Support is actively seeking a Claims Specialist to fill an opening in Henrietta, New York.
Daily Responsibilities for Claims Specialist :
- Manages and identifies a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks
- Researches, analyzes and appropriately resolves rejected claims by working with national Medicare D plans, third party insurance companies and all state Medicaid plans to ensure maximum payer reimbursement adhering to critical deadlines
- Ensures approval of claims by performing appropriate edits and / or reversals to ensure maximum payer reimbursement
- Monitors and resolves at risk revenue associated with payer set up, billing, rebilling and reversal processes
- Works as a team to identify, document, communicate and resolve payer / billing trends and issues
- Reviews and works to convert billing exception reports to ensure claims are billed to accurate financial plans
- Prepares and maintains reports and records for processing
- Performs other tasks as assigned
- 1 : 00pm-9 : 00pm M-F
Required Qualifications for Claims Specialist :
Education / Learning Experience :
Work Experience :
Preferred Qualifications for Claims Specialist :
Benefits for Claims Specialist :
Pay Details : $18 / hour - $20 / hour
Interested in being considered?
If you are interested in applying to this position, please click Apply Now for immediate consideration.
For additional consideration, please email a copy of your resume to jessica.macdonell@healthcaresupport.com with your phone number, the job title and location, and our recruiters will reach out.
Healthcare Support Staffing, LLC. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
OutTech125
Salary : $18 - $20
