Position: Medical Claims Specialist
Department: Billing
Schedule: Full-time
Location: Brunswick, Georgia
The accounts receivable specialist executes duties related to medical billing to ensure prompt reimbursement. Prompt reimbursement is achieved by providing timely and accurate information, documentation, and follow-up through the collection of insurance claims for assigned payors.
Major Responsibilities
- Follow-up on all outstanding insurance claims at 60-days from the date of service
- Follow-up on all returned claims, correspondence, denials, account reconciliations and rebills within five working days of receipt
- Investigate pending claims and resolve discrepancies via phone, vendor portals, fax, etc.
- Resolve claim delays in a timely fashion with management and monitor payer acceptance of claims to ensure payment
- Regularly speak with insurance companies regarding billing, follow up, and claim resolution
- Verify coverage and update account demographics/insurance in the billing systems
- Makes changes to data for incorrect claims and rebills daily.
- Notifies billers and billing errors or corrections needed
- Run daily, weekly, and monthly reports as directed by management
- Work directly with billing company to help resolve claim issues
- Additional Responsibilities as deemed appropriate may be assigned
Minimum Requirements
- High school diploma or its equivalent with a minimum of 2 years of experience in the field or in a related area
- Knowledge of Medicare, Medicaid and insurance reimbursement systems, including billing forms and requirements for various third party payors
- Excellent written and verbal communication skills and strong customer service skills
- Strong knowledge of Microsoft Word and Excel
- Working knowledge of managed care networks and insurance carriers
- Working knowledge of accounts receivable functions including CPT and ICD-10 coding
SEPA Labs is an Equal Opportunity Employer. We consider applicants for all positions on the basis of qualifications and without regard to race, color, religion, sex, national origin, age, marital status, veteran status, disability, sexual orientation, use of lawful products during non-work hours and any other legally protected status.