Job Description:
• Handle complex claim scenarios
• Resolve out-of-network claims
• Review and write appeals
• Assist with training and mentorship of staff
• Serve as a resource for team members
• Perform billing-related tasks including data entry, claim and charge review
• Manage a greater volume and complexity of work
• Identify and escalate payer issues
• Follow standard workflows and proactively seek further education
• Review reports to identify revenue opportunities
Requirements:
• High school diploma or equivalent required
• Associates degree in related field preferred
• Previous experience in a customer service or healthcare setting required
• Advanced knowledge of billing systems, denial management, and payer-specific requirements
• Strong analytical and decision-making skills;
• Ability to coach, train, and mentor other team members
• Experience writing appeals and handling escalated claim issues
• Skill in using computer programs and applications including Microsoft Office
Benefits:
• Health insurance
• Dental insurance
• Vision insurance
• Life Insurance
• Pet Insurance
• Health savings account
• Paid sick time
• Paid time off
• Paid holidays
• Profit sharing
• Retirement plan
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