Demo

Claims Specialist

LanceSoft
New York, NY Full Time
POSTED ON 4/15/2025
AVAILABLE BEFORE 5/10/2025

Job Title : Claims Specialist

Duration : 2 Months (The dates provided are only an estimate and not a guarantee)

Location : New York, NY 10037

Pay Range : $28.00 - $33.00 hourly

Job Duties :

Summary : A member of the revenue cycle process, billers are responsible for reviewing accounts, correcting claim edits, preparing and completing claims for submission to payers, posting all types of payments, and updating patient accounting systems. They will perform related functions in support of the Patient Financial Services operations and other duties, as assigned. The identification of essential functions below is not intended to be an exhaustive list of all duties that may be assigned to this position, nor does it restrict the duties which may be assigned to the position within the revenue cycle process.

Duties : Complete both paper and electronic claims, in a timely manner. Effectively use computer systems. Document patient information clearly and completely in systems. Interact with other departments to complete billing on accounts. Process rejections, denials, and other correspondence in a timely manner. Process pre authorizations, documenting responses in the system and following up as needed. Audit patients account for accuracy. Apply adjustments as needed. Provide customer service and ensure that conversations are documented accurately. Processing statements and entering information into database; and reviewing past due bills and following up on past due accounts. Generate Patient Balance Aging report and Insurance Aging report and following with patients and insurances accordingly. Arrange payment schedules with patients. Refer accounts requiring escalation to Supervisor in a timely manner. Attend all necessary training sessions to effectively perform the day-to-day functions of the position. Perform all other duties, as assigned by the Manager or Supervisor.

Bilingual must be fluent in either Spanish or French.

Employee Benefits :

At LanceSoft, full-time regular employees who work a minimum of 30 hours a week or more are entitled to the following benefits :

  • Four options of medical Insurance
  • Dental and Vision Insurance
  • 401k Contributions
  • Critical Illness Insurance
  • Voluntary Permanent Life Insurance
  • ccident Insurance
  • Other Employee Perks

LanceSoft is a certified Minority Business Enterprise (MBE) and an equal opportunity employer. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.

This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, training, and apprenticeship. LanceSoft makes hiring decisions based solely on qualifications, merit, and business needs at the time.

Salary : $28 - $33

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