What are the responsibilities and job description for the Medical Payment Specialist position at ICONMA?
Our Client, a Health Insurance Company, is looking for Medical Payment Specialist for their Newark, NJ / Remote location
Responsibilities :
- 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 Casualty Services, Inc.
- 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.
Requirements
Why Should You Apply?
As an equal opportunity employer, ICONMA provides an employment environment that supports and encourages the abilities of all persons without regard to race, color, religion, gender, sexual orientation, gender identity or express, ethnicity, national origin, age, disability status, political affiliation, genetics, marital status, protected veteran status, or any other characteristic protected by federal, state, or local laws.
