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Medical Claims Specialist at SEQUIUM ASSET SOLUTIONS LLC

St. James, Missouri, United States -

Full Time

Start Date

Immediate

Expiry Date

24 Jul, 26

Salary

0.0

Posted On

25 Apr, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Medical billing, Claims processing, Behavioral health billing, ICD-10 coding, Denial management, Insurance verification, Medical terminology, Outbound calling, Sales, Problem-solving, Analytical skills, Communication skills, Data entry, Medical collections, UB-04 forms, HCFA 1500 forms

Industry

Financial Services

Description

Description We are seeking a dedicated and results-driven Medical Claims Specialist to join our team. In this role, the Claims Specialist works on behalf of behavioral Health facilities obtaining revenue for services billed. Primary duties may include but not limited to: Verifies claim statuses and keeps a detailed record of claims issues Follows up on Behavioral Health claims by calling the insurance carriers and utilizing their web portals. Identifies, documents and communicates trends in rejections, denials, underpayments. Verifies benefits and/or eligibility information. Submission of Medical Records to Insurance Companies when required. Communicating with client via emails Requirements Knowledgeable in medical terminologies, diagnosis codes, denial codes, ICD-10 codes etc. Familiarity with UB-04 and HCFA 1500 Forms Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. Collections experience (1st or 3rd party) or billing experience. Must have experience in medical collections. Strong sales (outbound calling) experience is preferred. Completed 2nd Application. EZ Score of 40 or higher. Updated and detailed resume showcasing relevant experience. Ability to work independently and meet performance goals. Knowledge of medical billing and insurance processes is a plus. If you meet the qualifications and are ready to take the next step in your career, apply today!

Responsibilities

The Medical Claims Specialist is responsible for verifying claim statuses, following up with insurance carriers, and managing behavioral health claims. They must also identify and document trends in denials and underpayments while maintaining clear communication with clients.