What are the responsibilities and job description for the Medical Claims Processor position at South Shore Health?
Key Responsibilities
The Medical Claims Processor will play a critical role in ensuring the accurate and timely submission of third-party insurance claims at South Shore Health. This is an excellent opportunity for someone who is detail-oriented and has a strong background in professional billing.
Your primary responsibilities will include:
- Maintaining accurate and detailed records of patient demographic information and claim submissions
- Notifying managers of any changes that would affect claim submission
- Evaluating daily claim files using online claim editing software for submission of 1500 claim forms
- Initiating claim corrections as defined by insurance regulation and hospital policy
You will also be responsible for initiating collection of aged accounts receivable through an automated collector work list, generating reports as needed for collection of aged accounts receivable, and communicating with patients as needed for additional insurance or other information required to process a claim.
We offer a competitive salary and benefits package, as well as opportunities for professional growth and development. If you are a motivated and detail-oriented individual with a passion for healthcare billing, we encourage you to apply for this exciting opportunity.
