Job Title : Medical Claims Specialist
Location : Geneva, IL
Industry : Healthcare
Pay : $23 - $26 per hour
About Our Client :
Our client is a leading healthcare provider in Geneva, IL, seeking a skilled Medical Claims Specialist to join their team.
Job Description :
As a Medical Claims Specialist, you will be responsible for analyzing and resolving denied claims, ensuring accuracy and timely reimbursement.
Key Responsibilities :
- Documenting all work accurately in the electronic health record system
- Obtaining prior authorization for treatments or procedures
- Verifying patient eligibility and maintaining clinical database information
- Processing medical insurance claims and resolving through approval or denial
- Identifying and recovering outstanding balances on designated accounts
- Corresponding with insurance companies and patients to resolve claim questions
- Updating patient collection accounts and communicating with collection agencies as needed
Qualifications :
- 2-3 years of strong profee A / R experience, preferably in orthopedics
- Ability to read and interpret EOBs accurately and perform analytical research
- Experience with denied claims analysis
- Familiarity with Athena software preferred but not required
- Stable work history with GED required
Additional Details :
This is a direct hire position with a 3-month onsite training period. The successful candidate will have a flexible attitude and strong problem-solving skills.
Perks :
- Comprehensive benefits including medical, dental, vision, 401k, profit sharing, PTO, and holiday pay
- Hybrid work schedule after training period, with 2 days of remote work per week
- Opportunities for growth and development within the organization
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