What are the responsibilities and job description for the Insurance Claim Processor position at KPH Healthcare Services?
Job Overview
KPH Healthcare Services is a leading healthcare organization seeking a skilled Insurance Claim Processor to join our team. In this role, you will be responsible for processing and managing insurance claims, ensuring compliance with regulatory requirements and minimizing delays in reimbursement.
Key Responsibilities:
- Billing and payment application for secondary insurances, Noble Medical Billing Claims, home infusion claims, and DME claims
- Oversight of the electronic payment application for Medicare
- Assistance with Medicare audits, medical records requests, and appeals
- Reconciliation of Medicare, Noble, Aristacare, and Kinney Homecare statements
- Processing of check requests for customer and insurance company refunds
- Creation of accounts and movement of balances for customers with denied charges
- Rebilling of Medicaid/Medicare, Aristacare, and Kinney Homecare claims
Qualifications:
- High School Diploma or equivalent required; AS Degree or higher in Business Administration or related field preferred
- 2 years' experience in Medicaid, Medicare, and medical billing; general knowledge of Accounting, Insurance processing, and/or Pharmacy Store Operations preferred
