Looking for a new job for the New Year? Kelly Services has partnered with a premier Insurance company tha is located in Glastonbury, CT.
Medical Claims Specialist - *Summary* : Responsible for working in a fast-paced environment and having strong interpersonal and communication skills, attention to details, outstanding ability to multi-task and prioritize, and strong analytical skills.
Performs administrative tasks related to client health premiums and out of pocket medical expenses, interact with clients to provide information in response to inquiries about products and services, and handle and resolve complaints by performing the following duties.
- Duties and Responsibilities* include the following. * Processes or adjust medical insurance claims in accordance with policies and procedures.
- Answers phones and respond to client inquiries related to payments made on their behalf to medical providers.* Answers phones and responds to medical provider inquiries related to payments made or due to their office on their behalf of program clients.
- Makes outgoing calls to medical providers and insurance companies.* Responsible for having the ability to read explanation of benefits and healthcare terminology.
- Identifies, researches, resolves claim issues, and requests for additional documentation. Promotes teamwork and service delivery success.
Ensures contractual performance guarantees related to payment processing timeliness and accuracy are met. Ensures contractual performance guarantees related to various means of client communications are met such as phone, email, and mail.
Processes medical payments for clients. Assists in the client appeals process. Creates and updates financial batch records for processing by accounting.
Audits payment files and outgoing payments and checks accuracy of figures calculation.*must have 3-5 years of Claims and Insurance experience Associate's Degree preferred for this Medical Claims position Pay for this Medical Claims Specialist position 23 -25 per hour #CB #P2
Medical Claims Specialist
Claims and Insurance experience Associate's Degree preferred for this Medical Claims position Pay for this Medical Claims Specialist position 23 -25 per hour #CB #P2. Medical Claims Specialist - *Summary*: Responsible for working in a fast-paced environment and having strong...
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