What are the responsibilities and job description for the Senior Claims Specialist position at RightClick?
Our client is a leading organization, actively advancing in various specialized fields within their dynamic industry. They are dedicated to excellence, and their rapid growth reflects their success. They are looking for a Senior Claims Resolution Specialist who will oversee the daily operations within the Patient Accounts team, focusing on payment posting, self-pay billing cycles for both HB and PB, and ensuring compliance with financial policies and regulations.
Senior Claims Resolution Specialist’s Responsibilities and Duties
- Oversee daily operations, ensuring compliance with federal and state regulations and financial assistance policies.
- Develop and implement customer service procedures, ensuring prompt resolution of patient inquiries.
- Accurately post, reconcile, and resolve transaction discrepancies, including EFTs, lockbox payments, and credit card deposits.
- Analyze accounts receivable to track financial targets, identify trends, and recommend process improvements.
Senior Claims Resolution Specialist’s Qualifications and Skills
- Bachelor’s degree in Business or Healthcare Administration strongly preferred, or equivalent experience.
- At least 3 years of experience in hospital patient accounting or business office operations required.
- Previous team lead or supervisory experience in a hospital setting preferred.
- Proficiency with EMR systems, preferably EPIC.
- Advanced proficiency in Microsoft Excel, including reporting and data analysis.
RightClick is an equal opportunity employer who agrees not to discriminate against any employee or job applicant irrespective of race, color, creed, alienage, religion, sex, national origin, age, disability, gender (including gender identity), marital status, sexual orientation, citizenship or any other characteristic protected by law.
